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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)
TOWN OF BREMEN, INDIANA DANGEROUS ANIMAL/ATTACK DOGS PERMIT PERMIT No. ____________ Applicant’s Name: _____________________________________________ Address: _____________________________________ Phone: ______________________ Type of Dangerous Animal/Attack Dog(s) ________________________________________________________________ Number of Animals ____________ Fee $50.00 per animal: _______________ Photograph Submitted: ______________________________ Proof of Liability Insurance: ______________________________ (minimum $300,000) Town of Bremen Registration Tag: ______________________________ Applicant Signature ___________________________________________ Date _________ Approved by: ______________________________ Clerk-Treasurer |
(Prior Code, Ch. 71)
CIRCUS/ANIMAL PERFORMANCE EXHIBITION PERMIT PERMIT NUMBER __________ NAME OF CIRCUS/EXHIBITOR ___________________________________________________ ADDRESS _______________________________________________________________________ CITY ____________________________________ STATE ____________ ZIP ____________ TELEPHONE NUMBER ___________________________________________________________ LOCATION OF EXHIBITION: _____________________________________________________ PURPOSE _______________________________________________________________________ DATES: ____________________________________________ HOURS ___________________ PROOF OF INSURANCE ________________ YES ______________ NO ______________ FEE PAID _____________________________ FEE WAIVED __________________________ THIS APPLICATION IS: APPROVED _________________ DENIED ________________ SIGNED ____________________________ |
(Prior Code, Ch. 71)