Fillable Kennel License Application3 APPLICANT INFORMATION

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Kennel License Application3 APPLICANT INFORMATION

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City of Helena
316 N Park Avenue, Room 150
Helena MT 59623
(406) 447-84
50
Fax (406) 447-8377
citywater@helenamt.gov
KENNEL LICENSE APPLICATION
CALENDAR YEAR ________
City of Helena
FEE: $50.00 NEW __________ RENEWAL__________
APPLICANT INFORMATION
Name___________________________________Spouse_____________________________
Address___________________________________________________________________
Phone Numbers (home)_____________________ (work)____________________ (cell)_____________________
At least one phone number required
ANIMAL INFORMATION Number of Dogs________________Number of Cats_________
Name
Breed
Veterinarian
Rabies Vacc. due
(proof required)
City Dog License #
Other Animals______________________________________________________________________
■
Page 2 of 2
Kennel license expire on December 31
st
. You must renew the license before it expires or you may
be required to complete a new application. For a license renewal, you are not required to obtain
an inspection by the Animal Control Officer unless there is a significant change in the application
(i.e. additional animals, change of address).
This is not a license for Commercial Kennel. Commercial Kennels are permitted only in areas
where such usage, as defined in the Helena City Code is permitted.
I understand that my kennel license may be denied or revoked for any violations of the Helena
City Code. This may include, but not limited to, violations of the duty and care of the animals,
nuisance animals and other public nuisances. In the event of a revocation, license fees will not be
refunded.
signed_______________________________________________ date________________
(Print Form, Sign, Contact Animal Control Officer, and Submit with Payment)
Helena Animal Control inspection and recommendation is required.
Call an Animal Control Officer at 447-8461 for an appointment.
ACO Recommendation:
________ Approval
________ Disapproval
signed____________________________________ date___________
Comments ________________________________________________________________
__________________________________________________________________________
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Kennel License Application3 APPLICANT INFORMATION

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Completed 12 July 2020

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