City of Leon Animal Permit Application

City of Leon Animal Permit Application

Use this form to register your animals with the City of Leon and apply for required permits. You may add as many animals as needed.
Applicant/Owner Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Animal Details
Animal Details
Pre-Existing Livestock & Chickens
Pre-Existing Livestock & Chickens
A maximum total of 12 chickens and/or permitted livestock is allowed on the property. The limit of 12 applies whether all animals are one type or are a combination of different permitted types. All animals must be listed in this application.
Include one entry for each pre-existing livestock or chicken kept at the property.
For chickens, indicate whether they are housed in a coop.
Animal Summary & Certification
Certification Statement
Total number of animals on the property
I understand an animal kept on a tether must have continuous access to clean water and adequate shelter that it can enter for protection from the weather.
Veterinarian or Veterinary Clinic Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Animal-at-Large Acknowledgment
Applicant Signature
I understand this animal permit must be renewed every year by the end of February.
Kennel License Required?
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
photos/documentation

Cancelof
Veterinarian or Veterinary Clinic Name
Veterinarian or Veterinary Clinic Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Most Recent Rabies Vaccination

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Rabies Vaccination Certificate or Veterinary Record

Cancelof
Rabies Vaccination Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

City of Leon Animal Permit Application

Applicant/Owner Information

Animal Details

Pre-Existing Livestock & Chickens

Animal Summary & Certification