Application for keeping of hens

Please fill out the following form as your application for the keeping of hens in West Grey.

If you are not the owner of the land where you wish to keep urban hens, you will require a signed statement from the landowner (see below).

Should you require this form in an alternate format, please contact us at 519-369-2200.

Applicant's first name:

Applicant's last name:

Applicant's mailing address:

Phone No.:

Email:

Property owner's full name: (if different than applicant)

Property owner's mailing address:

Phone No.:

Property owner's email:

Property address of where hens are kept

A statement from the owner of the property on which Hens are kept that consents to keeping of Hens on the property, if the owner of the property is not the owner of the Hens.

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By submitting this application, I acknowledge as the owner of the hens identified in this application, that the hens meet the proper vaccination requirements and that the conditions shall adhere to the West Grey keeping of urban hens bylaw. I also acknowledge all information in this application is correct to the best of my knowledge and belief.

Personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used to evaluate the qualifications for citizen appointees to the Municipality of West Grey committees. Questions about this collection should be directed to the municipal clerk.

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Application for keeping of hens