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KENNEL LICB^ APPLICATION <br />Effective January It 19 to December 31, 19g T <br />Owner; ff. ^Llq _________________________ <br />Property AOdreaa; t <br />(include city and zip) ' ' <br />Mailing Address (if different); — <br />Phone: <home ) -*4^ & Q 4 5^ *1 (work)___, HSl^ <br />RESIDENTIAL Kennel License Information: <br />(paynent must accompany application) <br />$20.50 - 1989 Licetising Period <br />Kaximuft o* dogs to be Icept at one time: <br />- (oye^* ^ isonths of-age) • <br />Princi^ai flic<Bed; Orv^# <br />Purpose fcx mre than 2 docs ; V\AA ai >v ^^ --------- <br />Dogs np2?mally kept: inside kennel structure <br />_.;nAL KenQ«^l License Infojma^ici:^: -?i25.0d - 1989 Licensing Period <br />(payment must accompany applicationJ <br />Name Oif Business? <br />Business Activities: <br />(example: boarding, breeding, veterinary care, retail, etc.) <br />Normal Business Hours: <br />After Hours Contact: <br />cirr OF opo^o <br />ZtmtE OFFICE <br />.siiocooo^ <br />01 CliI <br />LnSrf Ji <br />:o,5i <br />*»i^ cr.' <br />4.V» ta‘V <br />(name)i£L:IP7-;7i^A^' YDi! <br />(phone) <br />Dog runs/exercise areas are: <br />IZO COOi POL 711: <br />inside outside both 01/26. <br />The undersigned hereby makes application to the OroAo.City Council fpr a <br />Kennel License as specified on this form; the undersigned acknowledges that <br />a kennel license is permissive only and does ntt grant any authority to <br />violate any provision of any City Ordinance or other law or regulation; the <br />undersigend hereby grants tjie City permisssif>/n to^ instfect the <br />prior to license approval and at any other reas«3S»ab^time dunitig <br />license duration; and the undersigned agrees to abidt <br />of Municipal Code Chapter 5.36 including any mpecdi^l coiiJ^itritons imp<2>a«d by <br />the City Council as part of any kennel license apgirpv^J.. <br />:r-- <br />V21UI. <br />Applicant <br />iA4Jk/LDate / <br />For City Use Only <br />Kennel inspected by Da^ie <br />Recommends Approval^Denial