APPENDIX C: PET SHOP/BREEDER PERMIT FORM
 
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)