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<br /> <br />Please fill out this page and return to City Hall of Little Canada: <br /> <br /> <br /> <br /> <br /> <br />Resident information: <br /> <br />Name:____________________ <br /> <br />Address:____________________ <br /> <br />Phone number:________________ <br /> <br /> <br />I, (print name)_____________________, have read and understood the Backyard Chicken <br />Information Packet obtained from the City of Little Canada. <br /> <br /> <br />(signed name) _____________________________ (date)_________________ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />