12.07.2015 Views

Downloadable Pet Shop Application Form (PDF, 73kb)

Downloadable Pet Shop Application Form (PDF, 73kb)

Downloadable Pet Shop Application Form (PDF, 73kb)

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To: Babergh District CouncilI/WeOfPET ANIMALS ACT 1951APPLICATION FOR LICENCE TO KEEP A PET SHOPAs proposed occupiers of the premises mentioned HEREBY MAKE ANAPPLICATION in pursuance of the provisions of section 1 of the <strong>Pet</strong>Animals Act 1951, for a LICENCE TO KEEP A PET SHOP at thepremises, of which particulars are given below.I/We enclose the sum of £ .00 being the amount of the fee payablefor the licence (Please see Page 2 for alternative method of paying).Postal address of premisesParticularsNumber & size of rooms in whichbusiness will be carried outNumberSizeHeating arrangementsMethod of ventilationLighting arrangementsNatural/ArtificialWater supplyArrangements for food storageArrangements for disposal of excretaType of animalsProposed numbersParrotsPigeonsOther large birdsBudgerigars, finches, & other small birdsDogsCatsRabbits & caviesHamstersRats, mice & gerbilsTortoisesSnakes and lizardsFish (tropical/Marine/Cold water)Other speciesI/We hereby certify that to the best of my/our knowledge the above particulars aretrue.DateSignedNABE AL PS1 v2


Payment of FeeYou are able to pay the fee for this licence by cheque posted to our office or by credit/debitcard over the phone.If you wish to pay by cheque, please make your cheque payable to Babergh DistrictCouncil and send it with your completed form toNatural & Built Environment DivisionCorks LaneHadleighIpswichIP7 6SJIf you prefer to pay by telephone1. Call 01473 825888, please have your credit/debit card details ready.2. You will be given a payment reference number.3. You must write that number on this form in the space below.4. Post the form to Natural & Built Environment Division address above.Please tick one of the boxes below to indicate how you have paid.I have enclosed a chequeI have paid by telephone, the payment reference is ………………..NABE AL PS1 v2

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