Commercial Animal Establishment License

Each location must be licensed separately. Licenses are valid from July 1 to June 30 and must be renewed annually. The current cost is $65 per location.

Owner Information

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Email Address:

Emergency Contact Information

First Name:

Last Name:

Phone Number:

Email Address:

Vet Information

Vet Name:

Vet Phone Number:

Business Information

Business Name:

Location being licensed:

Contact Person:

Title:

Business Type:

Select all that apply

Pet Shop
Boarding Kennel
Groomer
Auction
Petting Zoo/Circus
Exhibitor
Breeding Kennel
Other

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Commercial Animal Establishment License Payment Summary

Owner Information

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:

Emergency Contact

First Name:
Last Name:
Phone Number:
Email Address:

Business Information

Business Name:

Business Type(s):

Location:

Contact Person:

Title:

Vet Information

Vet Name:
Vet Phone Number:

Donation Information

Designation:
In Honor of:

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Commercial Animal Establishment License

Owner Information

Emergency Contact Information

Vet Information

Business Information

Donation

Commercial Animal Establishment License Payment Summary

Owner Information

Emergency Contact

Business Information

Vet Information

Donation Information

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