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Application for a Kennel Licence

Pursuant to By-laws 36/2014 and 10/2014 of The Corporation of the Municipality of Port Hope

Name of Kennel:

Applicant Name:

Telephone Number:

Email Address:

Kennel Location / Address:

Name of Caretaker / Manager (if different from applicant):

Caretaker / Manager Telephone:

Caretaker / Manager Email:

Caretaker / Manager Address:

Initial Date of Operation:

Max. # of Animals to be lodged at ANY time:

Max. # of People residing on property:

Please provide list of owned dogs and CKC registration number, if applicable:

DECLARATION:

By clicking the YES button, you as a resident of the Municipality of Port Hope, in the County of Northumberland solemnly declare that all the statements contained in this application are true and I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act. I agree to abide by all regulations governing the operation of a Kennel establishment in the Municipality of Port Hope as established by By-law 36/2014 & By-law 18/2014, as amended from time to time.

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Application for a Kennel Licence

DECLARATION: