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|ivr ICKWMKT. LICENSE APPLICATION <br />Effective January 1# 19 to December 31, <br />- • V--Owner: <br />_ _ _ _ ^ -77 f <br />elude city and zip <br />Property Address: <br />(In ‘ ‘ ' - - <br />Mailing Address (if different): <br />Phone: (home) VVS"' 3^^ ^(work) <br />IBSIDBHTIAL Kennel License Infopiation: $25.00 <br />(payment must accompany application) <br />Maximum No. of dogs to be kept at one time <br />(over 3 months of age) <br />% <br />Principal Breed: <br />Purpose for more than 2 dogs: <br />Dogs normally kept: ^^_inside kennel structure <br />jComiSRCXAL Kennel License Information: $150.00 <br />(payment must accompany application) <br />:;k <br />Marne of Business:llTi QF OFONd <br />Flt^AMCE OFFICE <br />?ex^l!e;'"^boarding! breeding, veterinary care, re-«T <br />S500000 <br />01 iEH 0*^ / <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 g^f o”n; ^the <br />license approval and at any ocner ^«“rhidf^bv the <br />license duration; and the *6^ including any special <br />license approval. <br />Date <br />>er City Ose only n r' <br />tennel inspected by- //^ I C -?a -T)Date ■rh /■? <br />tecommends Approval Denial <br />'V^ <br />.ik tiJJ