ANIMAL BOARDING ESTABLISHMENTS ACT 1963, S1

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					ANIMAL BOARDING ESTABLISHMENTS ACT 1963, S1
Application for Licence to keep a Boarding Establishment for Animals


To* __________________________________________________________________________________
I/We __________________________________________________________________________________
of      __________________________________________________________________________________
Tel      ________________________________


As [proposed] occupier(s) of the premises mentioned in the particulars set out overleaf,
HEREBY APPLY
under Section 1 of the Animal Boarding Establishments Act 1963, for a
LICENCE to KEEP AN ANIMAL BOARDING ESTABLISHMENT at the premises.

I/We enclose the sum of £ _____________

being the fee payable on this application.



I/WE CERTIFY that to the best of [my] [our] knowledge and belief, the particulars set out
overleaf are true.

Dated: ______________________________

Signed:** ____________________________

       * Insert name of local authority
      ** If signing on behalf of a Company or Partnership, state in what capacity


                   NOTE : THE APPROPRIATE FEE MUST ACCOMPANY THIS APPLICATION




       The completed form should be sent to :-

       Public Protection and Health, Cheshire East Borough Council,
       Westfields, Middlewich Road, Sandbach, Cheshire, CW11 1HZ

       e-mail: environmentalhealth1@cheshireeast.gov.uk              Tel:   0300 123 5500

                                            www.cheshireeast.gov.uk
PARTICULARS

1.           Postal Address of Premises               ____________________________________________
                                                      ____________________________________________
                                                      ____________________________________________
                                                      ____________________________________________

2.           Number, construction and size of quarters in ____________________________________________
             which animals [are] [will be] accommodated ____________________________________________
                                                          ____________________________________________
                                                          ____________________________________________

3.           Number of each type of animal which is   ____________________________________________
             [intended to be] accommodated on the     ____________________________________________
             premises                                 ____________________________________________
                                                      ____________________________________________

4.           Heating arrangements                     ____________________________________________
                                                      ____________________________________________

5.           Method of ventilation of premises        ____________________________________________
                                                      ____________________________________________

6.           Lighting arrangements:                   ____________________________________________
                                                      ____________________________________________
                  > natural                           ____________________________________________
                  > artificial                        ____________________________________________

7.           Water supply                             ____________________________________________
                                                      ____________________________________________

8.           Arrangements for food storage            ____________________________________________
                                                      ____________________________________________

 9. Arrangements for disposal of excreta              ____________________________________________
                                                      ____________________________________________

10. Description of isolation facilities for the       ____________________________________________
             control of infectious disease            ____________________________________________
                                                      ____________________________________________

 11. Name and address                                 ____________________________________________
             of usual veterinary surgeon              ____________________________________________
                                                      ____________________________________________
                                                      ____________________________________________
                                                      ____________________________________________
                                                      ____________________________________________


Dec 09/v01

				
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Description: ANIMAL BOARDING ESTABLISHMENTS ACT 1963, S1