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Effective <br />Owner: <br />Property Address: =� . <br />(include city and zip) <br />KENNEL LICENSE APPLICATION <br />March 1, 198_ to February <br />1 <br />Mailing Address (if different): <br />1r1'� <br />Fi Q$ i`I c <br />Phone: (home). if 7 f'- % 1 /i-/- (work) FIWa OFFICE <br />1311800000 <br />RESIDENTIAL Kennel License Information. $25.00/year 01 CEN 25.00 <br />(payment must accompany application) C&M e R .15.00 (. <br />Maximum No. of dogs to to kept at one time: RECEIPT -THAW YOU <br />#04022 8, C001 R01 TIMS <br />(over 6 mon-s of age) - <br />Principal Breed: '• _ ����� ' <br />f <br />Purpose fnr more than 2 dogs: <br />Dogs normally kept: 1 _ inside kennel structure <br />COMMERCIAL Kennel Licerge Informatior. 1150/year <br />(payment must accompany applicationi) <br />Name of Business: <br />Business Activities: <br />(example: boarding, breeding, veterinary ••^_ar,:. rete .1, etc.) <br />r final Business Hours: _ <br />After Ho:,r.s Contact: (name) <br />(phone) <br />Dog runs/exercise areas are: instde outside both <br />The undersigned hereby makes application to the Orono City Council for a <br />F-rinel License as specified ur this form; the undersigned acknowiadges that <br />' t gne1 license is permit-1 , e only and does of grant any authority to <br />violAte any provision of any ^;may Ordinance or other law or regulation; the <br />undersigend hereby grants the City permisssion to inspect the premises <br />prior to license approval and a+, any other reasonable time du=;ng the <br />license dur4 - ion; and the undersigned agrees to abide by the requ .smei,te.' <br />of Municipal Code Chapter 5.36 `-cliding a • special conditio-s imposed by <br />the City Council as part of a.. nnel lice:i-:;o Approval. <br />Applicant:Da.e <br />For City Use Only i p G <br />�.ennel inspected by �- �'. l k, Date_ %J'0 <br />Rec.,mmends Approval! Denial_ <br />