Application to Keep Additional Dogs

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Applicants Details

First Name*

Last Name*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Postal Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Phone Number*

Email Address*

Reason/s for having more than 2 dogs*

Do any of your dogs have a medical condition or disability?*

How do your dogs get exercised?*

1) The premises will during the currency of the permit remain adequately fenced (premises will be deemed not to be adequately fenced if a dog is found to be wandering away from the premises);
2) The keeper will have during the term of the permit adequate space for the exercise of the dogs;
3) In the case of a multiple dwelling, where there is no suitable dividing fence, the written consent to the application for a permit has been obtained from the occupier of the adjoining multiple dwellings;
4) Without the consent of the local government, the permit holder will not substitute or replace any dog once a dog dies or is permanently removed from the premises;
5) Any dog to which a permit relates must be a registered and identified dog;
6) An authorised person may seize and impound any or all of the dogs on the premises, if the authorised person suspects that a breach of the permit, or of any condition of the permit, has occurred;
7) A permit if granted may be revoked by the local government if there is a breach of any condition of that permit or if the permit holder is convicted of a breach of any provision of this local law;
8) A permit relates to specific premises and to a specific permit holder and is not transferable on the sale or lease of the premises to which a permit relates.

Applicant Signature*

Date*

The permit holder should be aware that further permits for replacement dogs will not
be issued. When the additional dogs (specified above) die or are permanently removed from
the premises, the Shire of Capel will not issue another permit to the permit holder that would
permit more than two dogs to be kept on the property

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Application to Keep Additional Dogs