Fillable Animal Licensing Pre Application Form (Cherwell District Council)

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Animal Licensing Pre Application Form (Cherwell District Council)

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Animal Licensing
Pre Application Advice
Applicant Details
In order for The Council to process your data for the aforementioned purpose, we are
required to have your consent. By providing your consent, your rights under current
data protection legislation are unaffected.
By ticking this box, I give my consent for The Council to process my data for the
purposes of processing the attached application and any future enforcement.
Last Name
First Name
Title
Home and(or) mobile number:
Email address:
Applicant address:
Postcode:
Proposed Trading Address:
Postcode:
What type of business are you
wishing to run
Home Boarding
Commercial Residential Boarding
Non Residential Boarding
Pet Shop
Riding Establishment
Dog Breeding
Dangerous Wild Animals
Zoo
Have you read the relevant conditions
relating to your proposed business?
Have you run a similar business before?
If yes, where and for how long
Which Local Authority issued your
previous licence?
Are you disqualified under this Act,
Pet Animals Act 1951, The Protection of
Animals (Amendment) Act 1954 or the
Animal Welfare Act 2016?
How many animals do you wish to
accommodate?
Do you have your own pets? If yes,
what?
Type/Breed of animals which are
intended to be accommodated on the
premises
For Dog Breeding, please state number
and age of bitches to be kept
What accommodation and exercising
space will you be providing and to what
specifications will it be constructed
Heating arrangements
Method of Ventilation of premises
Lighting arrangement
1. Natural
2. Artificial
Water Supply
Food storage arrangements
Have you made arrangements for
disposal of excreta?
Description of isolation facilities for the
control of infectious diseases
Name, address and telephone number of
usual veterinary surgeon (Riding
Establishments, Dangerous Wild Animals
and Zoos)
Do you have Staff training policies in
place? If yes, please attach a copy
Do you have emergency plans in place?
If yes, please attach a copy
What fire precautions do you have in
place, e.g. smoke detectors?
Where animals are boarding overnight,
how many staff will be on site overnight?
For Riding School, who will have direct
control or management of the
establishment, and what qualifications if
any do, they have? If they do not hold
any please give details of their
experience in the management of
horses.
For Riding Schools, is land available for
a) Grazing
b) Instruction or demonstrating riding
Please give details
Declaration
I understand that:
1) The final decision is made by Council Members or under delegated authority after
the application has been submitted and been subject to a consultation period. You
should therefore be aware that the council’s officers are unable to give any
guarantees about the decision that will be made in relation to applications.
2) This service only applies to pre-application assistance therefore ceases to apply
once the application is submitted.
3) The council will not deal with your request for assistance until we receive payment.
4) A new case officer (i.e. different from the officer providing pre-application advice)
will be assigned once you have submitted your licensing application.
5) The confidentiality of information provided to the council cannot be guaranteed
because it is subject to the provisions of the Freedom of Information Act and the
Council may be obligated to disclose information about pre-application assistance
requests and the advice that we have provided. Personal data will be protected in
line with current data protection legislation.
Signed:
Print:
Date:
Fees – please select which advice you would like to receive.
Preliminary Application with Consultation and
Report.
£60
Site Visit by an Environmental Health Officer.
£75
Preliminary Application with Consultation, Site
Visit and Report
£135
Fees are payable to the council within which the business address
is situated:
Licensing Team
Cherwell District Council
Bodicote House
Bodicote
OX15 4AA
Licensing@cherwell-dc.gov.uk
01295 753744
Privacy Notice
LICENSING - Privacy Notice
LICENSING
What is Licensing?
Administering, enforcing and regulating licences, registrations, permits and related permissions
(called “authorisations”) within the remit of the Licensing service
Contact details specific to service
If you have any queries that are specific to Licensing please contact us via the following:
licensing@cherwell-dc.gov.uk
How we use your information for Licensing
The information we request is only used for the intended licensing purpose but if we intend to use it
for any other purpose we will normally ask you first. In some cases, the Council may use your
information for another purpose if it has a legal duty to do so, to provide a complete service to you, to
prevent and detect fraud, or if there is a risk of serious harm or threat to life.
Who will have access to my personal data?
Information is shared with other regulatory and enforcement authorities including, but not limited to,
other Council services; the police; HM Revenues and Custom; Home Office Immigration; NHS
services, and other local authorities when allowed to by law for the purposes of the administration and
enforcement of authorisations, and for the purposes of the prevention and detection of crime, public
safety, public health, protection of the environment and prevention of fraud.
Certain information about authorisations (including in particular your name and the address of any
premises to which an authorisation applies) may be published on a public register on our website
when we are required to by law. Authorisations that have to be determined by our Councillors will be
published in minutes on our website.
What information is processed?
We collect confidential personal information where required by law including names; addresses; dates
of birth; contact details; details of qualifications and occupations; nationality; ownership of land,
premises or property; previous criminal convictions; medical status; bank account and other financial
account details; details of family and other relationships where necessary.
Retention period
All information will usually be retained in line with current Council retention policies.
Some information, for example criminal conviction information relating to an application for an
authorisation will be disposed of as soon as the relevant decision has been made in relation to that
application.
We will keep information about any enforcement action we take for three years from the date of the
enforcement. Enforcement action means but may not be limited to warnings, requirements, simple
cautions, statutory notices, or prosecutions.
Summary of rights
You have a number of statutory rights to the information we hold on you, which include access, these
are explained in the “Summary of the data subject’s rights” section of our website found under
https://www.cherwell.gov.uk/privacy-and-cookies this page includes the councils privacy policy.
Alternatively you can request this information by email: informationgovernance@cherwell-dc.gov.uk
Or by post:
The Information Governance Team
Cherwell District Council
Bodicote House
Bodicote
Banbury
Oxfordshire
OX15 4AA
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Animal Licensing Pre Application Form (Cherwell District Council)

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Completed 25 July 2020

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