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Application Form - Pet Shop Licence

Please note this form should be completed, printed-off, signed and returned with the remittance fee of £53.50 to the address below.
 
Owners details *
 
Business Partners Details (If applicable)
Title
 
Please enter each type of animal and the proposed numbers to be sold through the business. After each entry use the ADD button to allow you to proceed with the next animal.
 
Animals for Sale
Type of Animal to be Sold*Proposed Numbers* 
 
I enclose a remittance of £53.00 for the licence fee (Cheques and Postal Orders to be made payable to North East Lincolnshire Council)
Signed 1DatedDaySigned 2DatedDay
 

Please use the submit button to generate the PDF printed form. Sign the form and return together with said fee to the following address;

Environmental Services, Origin One, Origin Way, Genesis Europarc, Grimsby, DN37 9TZ

For any queries please telephone (01472) 324770

 

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.



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Created by   :   Environmental Services - Environmental Health
Last Updated   :   16 March 2005

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