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KENNEL LICENSE APPLICATION (� <br />Effective Marsh 1, 1988to February a7O, 1940P <br />Owner:/J/k."Lf d sm/�� /Vcumse--- <br />q y <br />f U,i S%i,EE �'1yzA'f �, <br />/�� <br />MA) S.s391 <br />Property Address:�J / i <br />(include city and z p) <br />Mailing Address (ifdifferent)% <br />// <br />Phone% (home) (work) <br />RESIDENTIAL Kennel License Information: $25.00/year <br />(payment must accompany application) <br />CITY OFCROW <br />Maximum No. of doge to be kept at one time: <br />FZNANCfOFFICE <br />(over 6 months of age) <br />9 / <br />131 1EC0000 <br />Principal Breed: QoOory�di .na��L.a.ry <br />C! GEN 25.00 <br />CHECK R :5.00 <br />Purpose fir more than 2 ogs s da <br />1,11 7-flaw YOU <br />Dogs normally kept: I_inside %kennel structure <br />411,0760 COC1 ,WJ '15:18 <br />Cl/12/EF <br />comemcIAL Kennel License Information: $150/year <br />(payment must accompany application) <br />Name of Business% p <br />Business Ac es: _ 44 <br />(exam boarding, eding, veterinary care, retail, <br />etc.) <br />Normal Business Bourse — <br />After Hours Contact% (name) /ice <br />(phone) <br />_ <br />Dog runs/exercise areas are: _inside -,�outaide <br />_both <br />The undersigned hereby makes application to the Orono City Council for a <br />Kennel License as specifi•.d on this forms the undersigned acknowledges that <br />a kennel license is per issive only and does not grant any authority to <br />violate any provision of any City Ordinance or other law or regulations the <br />undersignnd hereby grants the City permisssion to inspect the premises <br />prior to license approval and at any other reasonable time during the <br />license duration; and the undersigned agrees to abide by the requirements <br />of Municipal Code Chapter 5.16 including any special conditions imposed by <br />the City Council as part of any kennel license approval. <br />A9__/ //10, � <br />Applicant Date <br />------------------------------------------------------------ <br />For City Use Only O <br />Kenae nspected by Q1'L Date ��� o <br />Retommerds Approval_ Der :al__ <br />