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Animal Care and Control By-Law 2020/67
Page 11 of 12
NOVEMBER 2020
Municipality of West Nipissing
ANIMAL CONTROL BY-LAW
SCHEDULE "D" TO BY-LAW 2020/67
APPLICATION FOR KENNEL LICENCE /
DEMANDE DE LICENCE DE CHENIL
Name of applicant :
Nom du demandeur :
Address:
Adresse:
Telephone #: / No. de téléphone:
E-Mail: / Courriel:
Name of Kennel (if applicable):
Nom du Chenil (s'il y a lieu) :
Address of Kennel if different from above:
Adresse du Chenil s'il varie de l'adresse
mentionné ci-haut :
Distance of kennel from residence:
Distance du chenil de la résidence:
ZONING OF PROPERTY: /
(Must be verified with the West Nipissing Planning Department)
Zonage de la propriété:
Compliant
Non-compliant
Conforme
Non-conforme
TYPE OF KENNEL :
Private Kennel:
Chenil privé:
Pure Bred Kennel
Chenil pour races pures
Boarding Kennel:
Chenil de location:
By signing this application I hereby give permission to the Municipality of West Nipissing By-Law Enforcement
Officer or other duly authorized person to enter at any time, this kennel and the lands upon which the kennel
is situated for the purpose of inspection.
Date:
Applicant Signature / Signature du demandeur:
Animal Care and Control By-Law 2020/67
Page 12 of 12
NOVEMBER 2020
Municipality of West Nipissing
ANIMAL CONTROL BY-LAW
SCHEDULE "E" TO BY-LAW 2020/67
CHECK-LIST FOR INSPECTION OF KENNEL /
LISTE DE CONTRÔLE POUR L'INSPECTION DU CHENIL
ITEM CONDITION
ACCEPTABLE
RECOMMENDATION
(see below if required)
YES
NO
1
Overall condition of kennel
2
Ventilation & light
3
Temperature levels
4
Cleanliness of premises
5
Condition of cages, pens, etc.
6
Food and water :
-
Schedule of feedings
-
Type of food served
7
Indoor, outdoor or group housing
8
Outdoor exercise area
9
Whelping facilities
RECOMMENDATIONS :
Date inspected :
Animal Control Officer carrying out inspection:
Date of second inspection (if required) :
Animal Control Officer carrying out inspection :
APPROVAL
Kennel Licence approved on
, 20
.
Authorizing personnel: (print & signature)