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jCSSniEL LICENSE APPLICATION <br />Effective January 1, 19 «== Dece.tfcer 31, 19, <br />Owner <br />Prooer-ty Address; . , <br />(Include city and zxpi <br />Mailing Address (if different); <br />Phone: (home) 0 <br />^nsx <br />(work) <br />RESIDENTIAL Kennel License Information; $25.00 <br />(payment must accompany application] <br />Maxlmon No. of dogs to time!_2 <br />Principal Breed <br />Purpose for more thi 1/ <br />Dogs normally kept: J^lnside --------^kennel struotore •nc" <br />1 <br />nh SRCIAL Kennel License Information; $150.00 <br />(payment must accompany application] <br />Name of Business __________________—--------- <br />__ ClVt OF OR0}^d <br />Fl^^i^CE OFFICE <br />1313500000 <br />01 COi <br />1313000000 <br />„0:..CEH 22. <br />CHECK TL 47. <br />—‘RECEIPT-iHi^ YOi <br />02/ <br />^7420 cool ROi T. <br />:*“oIrdin|;' breeding, veterrnar, care, retaxi, .1“) <br />Normal Business Hours;,_________________________________—------ <br />After Hours Contact; (name) <br />(phone) <br />Dog runs/exercise areas are:inside ____^outside ___both <br />The undersigned hereby makes TA/V/'A, /d <br />Snd«s\"gneracknowl^ges ttat^.^^ <br />!n“erse"tpprt7al"“a”d" aV«y Vth« refsonab/e his., during the <br />licence approva’ <br />________ <br />Hisifeislii^by _ D^Cr ___Date <br />Recommends Approval_/— Denial,- - --