Application to keep bees in an urban area

Application to keep bees in an urban area

under the Keeping of Animals, Bees and Poultry Bylaw 2021
To complete this application, you’ll need to have the following:
- agreement from adjoining residential property neighbours to hives being placed on your property
- an inspection report from an approved contractor, obtained at the applicant’s cost
- a site plan showing where the hives will be placed
- your Assure Quality registration number.
Applicant details
Assure Quality Registration number *
Name (individual or company) *

First name Last name
Postal address *

Street address

Street address line 2

City Region

Postal code
Phone number *

Area code Phone number
Mobile number *

Area code Phone number
Email *
example@example.com
Hive location
Proposed number of hives *
Maximum number of occupied hives per urban lot limited to 3.
Location of Hive(s): (provide site plan) *

Cancel of
Hive location address *

Street address

Street address line 2

City Region

Postal code
Property owner details
Property owner name *

First name Last name
Phone number *

Area code Phone number
Mobile number

Area code Phone number
Email *
example@example.com
Is the property owner being paid to have beehives on their property? *

Yes No
Please provide details of payment.
Supporting documents

Agreement from neighbour(s) and inspection report
Agreement from neighbour(s)

You must provide written advice of support from occupiers of any adjoining residential proeprty. Support from every neighbour will help your application be considered more quickly.

Upload a copy (this can be a screenshot) of the agreement from all affected neighbour(s). Agreement must include:
- name and address of applicant
- name and address of neighbour
- what the neighbour understands they are giving their agreement to.
Agreement from neighbour(s) upload *

Cancel of
Inspection report
Inspection report from an approved contractor upload *

Cancel of
Declaration
By typing my name in the box below, I certify that:
- I am the applicant named above.
- I give Council permission to hold this personal information about me in accordance with the Privacy Act 2020 for the purposes of assessing my application under the Keeping of Animals, Bees and Poultry Bylaw.
- I have advised any neighbour(s) listed that their personal information including their name, contact number and address will be included in the application form to be provided by Council and managed in accordance with the Privacy Act 2020.
- I confirm that the information on this form is true and correct to the best of my knowledge and belief.
- I confirm I have read, and agree to the terms and conditions of the granting of any licence.
Name *

First name Last name
Date *

Month Day Year
Date
Should be Empty:

Application to keep bees in an urban area

Applicant details

Hive location

Property owner details

Supporting documents

Agreement from neighbour(s)

Inspection report

Declaration