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KBSHEL tICEHSB APPLICaTlON <br />Effective January 1, 19 to December 31, 19^ <br />Own«ir:__ _ _ _ _ <br />Mailing Addra*s (If different): <br />Fhena: (***■>"** ^ '^7/ - Z' C <br />/\ ' tr <br />(work)^ 5 <br />/ <br />IpllT^^on] <br />Maximum Ho. of dogs to be kept at one time:, <br />(over 3 months of age) ^ z ^ <br />Principal rr--»- ^ ^----------------- <br />Purpose for more than 2 dogs; ^t<r rc^- - - - --- - - - - <br />DO,, normally kept: J:^insid. - - -^kennel structure <br />IBBCUL Kennel Ucen*. Infonnation: $150.00 <br />(payment must accompany application] <br />Name of Business: <br />inside outside both <br />f“5fy!.*°^I^SinS: breeding, vete..na.y care. reo».l, <br />Hormal Business Hours; <br />After Hours Contact; <br />Dog runs/exercise areas are: <br />The undersigned ^S^^pmciiLed on this form; the <br />Couneil for a kennel license is permissive only <br />ondonipned adcnowledpe. ^ riolate any provision of any•ad dooa not grant any authority to vwwte^^ *undor.i9«id hereby <br />City ordinance or "JL*^^/Mct the pranises prior togrants the City penai.e.ion to inspect tnp during the <br />Ileonso approral and at any other reasonaoi. ti <br />lieonsa duration; “<LV’codS'*aS^er SJs’ including any <br />U5SKT^“i:$o::S^inh.‘='?fty°lS;‘ncil a. part of any kennel <br />liea&ae approval. <br />CITY OFDROHS <br />FIHAHCE OFFICE <br />1313500000 ^ ^ <br />01 CEH |5.jJ <br />«SW Tl 25.00 <br />-4£S£IPT-rm YOU <br />0229960 cool PQl T15: <br />12/OV <br />Date <br />i I Date