Date of Application: | Application Fee: $25.00 | |
Applicant(s) Name: (Please not that the applicant must be the animal owner) | ||
Address of Proposed Location of Coop and Run: (Applicant must be resident of single family dwelling at this address.) | ||
Applicant’s Phone Number: | Applicant’s Email: | |
Indicate the type of animals that will be owned by applicant: (Note: no less than 2 and no more than 6 fowl; no more than 10 rabbits).
Chickens Ducks Quail Pheasants Pigeons Rabbits
__________________ I have submitted Surrounding Property Owner Acknowledgment form.
Is the address of the proposed Coop and/or Run part of an HOA.
(Circle one) NO YES
If Yes, provide current written approval from HOA.
I attest that I have been provided with a copy of the Village of Brighton Ordinance and am familiar with the contents therein. I will comply with the Village Ordinance and any amendments that may be implemented.
I attest that failure to comply with the Village Ordinance may result in fines and/or revocation of your permit.
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Applicant(s) signature Date
OFFICIAL USE ONLY |
Permit No. _________________ Fee (cash, heck, credit) ________________ Date Received ____________________ Building permit required (Y/N) ______ Inspection Date: _______________________ Inspector Signature:_________________________ Pass Fail Incomplete |
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Applicant’s Proof of Notice to All Adjacent Landowners and Abutting/Adjacent Lot Owners within 100 Feet of My Property
In the space below, provide the name(s) and address(es) of the adjacent landowners, and abutting/adjacent lot owners, that you provided notice to, in accordance with the Village of Brighton Ordinance 3-2-8, Animal, Etc. in Village.
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By signing my name below, I hereby affirm I have provided notice to the above named landowners and I understand if any landowner(s) has not been notified, as required by Village Ordinance, my permit shall be revoked and I will forfeit return of my registration fee.
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Date: _________________________________________ Date: __________________________________________