PET SHOP/BREEDER’S PERMIT NO. ____________ FEE: $50.00 APPLICANT’S NAME ________________________________________________________ ADDRESS ___________________________________________________________________ PHONE NUMBER ____________________________________________________________ Applicant must adhere to all rules and regulations contained in the Town of Bremen Ordinance 10-92. Date ________________________ ________________________________ ________________________________ Applicant’s Signature Clerk-Treasurer Approval |
(Prior Code, Ch. 71)