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Application for a licence to operate a Dog Breeding …...I am aware of the provisions of the...
Transcript of Application for a licence to operate a Dog Breeding …...I am aware of the provisions of the...
Community and Enterprise Resources Fleet and Environmental Services
Breeding of Dogs Act 1973 Application for a licence to operate a Dog Breeding Establishment
You can complete this application for a licence to operate a Dog Breeding Establishment form in Adobe Acrobat and print it out, or print it and complete it by hand, using block capital letters. This form requires to be signed so please print out, sign and return the form to: South Lanarkshire Council, Environmental Services, Montrose House, 154 Montrose Crescent, Hamilton, ML3 6LB.
If you need this information in another language or format, please contact us to discuss how we can best meet your needs. Phone 0303 123 1015 or email [email protected]
1. Applicant detailsName
Address
Telephone
2. Type of applicationNew RenewalExisting licence number
Animals to be accommodated Dogs Yes No Breeds and maximum numbers
3. Premises to be licensedName of premises/trading name
Address of premises
Telephone number of premises
Email address
4. Accommodation and facilitiesDetails of the quarters used to accommodate animals, including number, size and type of construction
Exercise facilities and arrangements
Heating arrangements
Method of ventilation of premises
Lighting arrangements (natural & artificial)
Water supply
Facilities for food storage and preparation
Arrangements for disposal of excreta, bedding and other waste material
Isolation facilities for the control of infectious diseases
Fire precautions/equipment and arrangements in the case of fire
Do you keep and maintain a register of animals
How do you propose to minimise disturbance from noise?
5. Veterinary surgeonName of usual veterinary surgeon
Company name
Address
Telephone number
Email address
6. Emergency key holderDo you have an emergency key holder? If no, go to 7.
Name
Position/job title
Address
Daytime telephone number
Evening/other telephone number
Email address
7. Disqualifications and convictionsHas the applicant, or any person who will have control or management of the establishment ever beendisqualified from:Keeping a pet shop? Yes No Keeping a dog? Yes No Keeping an animal boarding establishment? Yes No Keeping a riding establishment? Yes No Having custody of animals? Yes No
If yes to any of the above, please provide full details, including dates and circumstances
Has the applicant, or any person who will have control or management of the establishment, been convicted of any offences under the Animal Welfare Act 2006? Yes No If yes, please provide full details, including dates and circumstances
Has the applicant, or any person who will have control or management of the establishment, ever had a licence refused, revoked or cancelled? Yes No If yes, please provide details, including the local authority applied to, dates and circumstances
8. Additional detailsPlease check local guidance notes and conditions for any additional information which may berequiredAdditional information which is required or may be relevant to the application
Standard declaration and signature section I am aware of the provisions of the Breeding of Dogs Act 1973 and I apply for a Licence for a Boarding Establishment. I understand that new applications will require a veterinary inspection rechargeable to the applicant.
Signature
Date