HomeMy WebLinkAbout6 -Residential Chicken Application - Renewal
RESIDENTIAL CHICKEN PERMIT
RENEWAL APPLICATION
LICENSE FEE $25.00
Site Address for Chickens ___________________________________________________
Site Acreage __________________________ Number of Chickens __________________
The above referenced property’s Homeowners Association rules, if any, do not prohibit
the keeping of chickens on the property (please initial)
Yes _______ No ________ Not Applicable _________
Applicant Information
Name __________________________________ Phone Number ___________________
Address __________________________________________________________________
City ______________________________ State ___________ Zip __________________
Email Address ____________________________________________________________
Have any changes been made from the original application? Yes ____ No ________
If yes, please describe _____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
THE FOLLOWING MUST BE SUBMITTED WITH THE RENEWAL APPLICATION IF ANY
CHANGES HAVE BEEN MADE TO THE PLACEMENT AND/OR STRUCTURE OF THE COOP
Please submit a scaled sketch with the proposed improvements for your chickens. This
sketch should include:
Location and size of your house
Your lot lines
Location, size and type of all structures and containment areas for the chickens
(coop, pen and fencing)
Setbacks of chicken structure
Setbacks and use of adjacent structures (habitable structures on neighboring
properties)
Distance between chicken structure and adjacent habitable structures on neighboring
properties cannot be closer than 20 feet.
______ I have read and I understand the conditions under which I may keep chickens,
as set forth in the City Code Section 9.24-VI et seq. I agree to abide by these conditions.
Failure to abide by these conditions will result in cancellation of the permit.
_______________________________________ _______________________________
Applicant Printed Name Date
_______________________________________
Applicant Signature
OFFICE USE ONLY
Permit Fee Paid: Yes ________ No ________
Permit valid until: __________________________________
Permit Approved: Yes _______ No ________
Signature: ___________________________________________