Application for Licence to keep animals (Not dogs or bees)

Application for licence to keep animals (other than dogs or bees)

under Keeping of Animals, Bees & Poultry Bylaw 2021
Applicant details
Name (individual or company) *

First name Last name
Postal address

Street address

Street address line 2

City Region

Postal code
Physical 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
Animal to be kept
Type of animal to be kept *
Location on property of animal housing (Map/ diagram) *

Cancel of
Agreement from neighbour(s)
This request for a Licence to keep an animal may also require compliance with the District Plan 2021.

Written advice of support from occupiers of any adjoining residential property is desirable. Support from every neighbour will help the application to 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.
Upload agreement from neighbour(s) files *

Cancel of
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 for licence to keep animals (other than dogs or bees)

Applicant details

Animal to be kept

Agreement from neighbour(s)