Application for chicken coop permit

DECLARATION IN THE MATTER OF AN APPLICATION FOR THE GRANT OF A MUNICIPAL PERMIT TO WIT:

In the City of Kitchener do solemnly declare:

1. That I am the applicant for the grant of a permit authorizing me to keep backyard chickens pursuant to City of Kitchener Municipal Code Chapter 408 within the City of Kitchener now and hereafter in force. I undertake to conform to the terms, conditions and regulations set out in City of Kitchener Municipal Code Chapter 408 and understand that I must comply with all applicable regulations and requirements of every by-law of the City of the Kitchener

2. I understand that any permit issued pursuant to the said application is subject to revocation.

NOTICE OF COLLECTION: Personal Information collected is pursuant to the Municipal Freedom of Information and Protection of Privacy Act (and all other applicable privacy provincial and federal legislation). Such legislation is reviewed and applied for the collection, use, disclosure and destruction of the information. The personal information collected as a result of this application may be used to assist in reporting information when requested. Questions regarding this collection should be forwarded to Gloria MacNeil, Director of Enforcement, 33 Ontario Street N, Kitchener, Ontario, N2G 4Y3 or by emailing gloria.macneil@kitchener.ca

Please bring application in person or mail to: Bylaw Enforcement Office 33 Ontrario St. N. Kitchener, ON N2H 4Y3

$50 fee payable in cash or by cheque. (cheque only for mail)