Animal Boarding Application Form - Wigan Council

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5. Please give details of the lighting arrangements for the premises.NaturalArtificial6. Please give details of the water supply.7. Please give details for food storage.8. Please give the arrangements for disposal of excreta.9. Please give a description of isolation facilities for the control of infectiousdisease.10. Please give the name and address of your usual veterinary surgeon.4
11. Plans.Please include with your application a plan to a scale of 1:100 showing all theaccommodation at the premises including the area used for the isolation of animalsand the storage of bedding and food.Please note that you do not need to provide plans if you have already provided themand there have been no changes to the premises since they were submitted.If you are unable to put all the information on the application form you can attach it ona separate sheet of paper. If you do please make sure that any additional sheetscontain details of the premises and the number of the question that you are answering.Important Please ReadNotice of your application together with your name, address and contact telephone numberwill be given to the Council's Business Compliance Service Manager. Arrangements canthen be made for an Officer of the Council authorised to inspect premises licensed underthe Act to inspect your premises to satisfy the Council that it meets the requirements forlicensing.I / we* certify that to the best of my / our* knowledge and belief, the above particulars aretrue and in making this application I / we* declare that no person named within theapplication is disqualified (delete as appropriate): -(a)(b)(c)(d)(e)(f)Under this Act from keeping an Animal Boarding Establishment;Under the Pet Animals Act 1951 from keeping a Pet Shop;Under the Breeding of Dogs Act 1973 and 1991 from keeping a BreedingEstablishment for dogs;Under the Protection of Animals (Cruelty to Dogs) Act 1933 from keeping a dog;Under the Protection of Animals (Amendment) Act 1954 from having custody ofanimals; orUnder the Protection of Animals (Cruelty to Dogs) (Scotland) Act 1934 fromkeeping a dog.*If signing on behalf of a Company or Partnership please state in what capacity.SignedPrint NamePosition………………………………………………………………………….……………………………………………………………………….....………………………………………………………………………….Date d d m m y y y ySignedPrint NamePosition………………………………………………………………………….……………………………………………………………………….....………………………………………………………………………….Date d d m m y y y y5
Page 1 and 2: Application for a licence to keep a
Page 3: D Details of premises to be used as

Animal Boarding Application Form - Wigan Council

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