Section 1 of 1 in this document
Application to Harbor Livestock/Animal
Full Name
First Name
*
Last Name
*
Full Address
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Applicant Email Address
*
Emergency Contact Information
Full Name
First Name
*
Last Name
*
Full Address
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Veterinarian Information
Full Name
First Name
*
Last Name
*
Full Address
Street Address
*
City
*
State
*
Zip
*
Phone Number
*
Livestock Information
Name
*
Breed
*
Date of Birth or Approximate Age
*
Life Expectancy
*
Spayed or Neutered
Yes
No
Please list all of the innoculations the livestock/animal has had and the dates the innoculations were administered
*
Where will the livestock/animal reside?
*
Describe your plan for confining the livestock/animal within your premises or yard:
*
Where will the livestock/animal Eat?
*
Where will the livestock/animal sleep?
*
How will the disposal of the livestock/anima's excrement be cared for? (Specifically, schedule of when it will be cleaned and where it will be disposed)
*
Is the livestock/animal capable of emitting any sound/noises?
Yes
No
Describe
Is the livestock/animal a predator of any other species?
Yes
No
If yes, please list:
Has the livestock/animal ever been determined to be a nuisance in any other jurisdiction?
Yes
No
If yes, please list he jurisdiction, the date, and provide a description:
If the livestock/animal were to be apprehended at large, would it be accepted for emergency housing by the Oakland County Humane Society?
Yes
No
If yes, contact person:
First Name
Last Name
Full Address
Street Address
City
State
Zip
Contact persons phone number
For Office Staff Only
Method of payment (if check, please list check number) / Receipt number / Date Paid / Clerk initials
License number / Date issued
Building department signature / date
City clerk signature / date
disregard this