Animal Maintenance Permit Application Form PDF Details

The Animal Maintenance Permit Application form is a crucial document for residents of Wichita, KS, who wish to keep animals on their property. Managed by the Police Department's Animal Control Section, the application process involves submitting the completed form along with the required documentation and payment to Wichita City Hall. The form accommodates various types of animals, from common pets like dogs and cats to larger livestock such as horses and cattle, with a permit fee that varies based on the animal type. Applicants must provide detailed information regarding the owner, the veterinarian, and each animal, including rabies vaccination status and microchip numbers. Additionally, the application emphasizes compliance with city ordinances and zoning requirements, including specific distances that animal enclosures must be kept from adjacent dwellings and property lines. Applicants must also sketch the layout of their property, showing key features related to animal keeping. Before submission, applicants are reminded of the legal responsibilities and potential consequences of non-compliance, reinforcing the city's commitment to ensuring the welfare of animals and the community. This process underscores the importance of responsible animal ownership and the city's role in maintaining public health and safety.

QuestionAnswer
Form NameAnimal Maintenance Permit Application Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesunbuilt, sedgwick, designee, revocation

Form Preview Example

POLICE DEPARTMENT – ANIMAL CONTROL SECTION 3303 N. HILLSIDE – WICHITA, KS. 67219

316-350-3360316-350-3372(FAX) - www.wichita.gov

ANIMAL MAINTENANCE PERMIT APPLICATION

Submit application, required documentation & payment to:

Wichita City Hall

Allow 30 days for processing

455 N. Main - Express Office 1st Floor

 

Wichita Ks. 67202

 

316-268-4553

Indicate Type of Animals Maintained at Property - No more than three types of animals allowed on premises.

Dogs (3-4, No more than 2 Un-spayed females)= $25.00

Cats (3-4)

= $25.00

Rabbits (4-12)

= $25.00

Pig (1 Neutered, Miniature Vietnamese Pot-Belly) = $25.00

Fowl (4-12)(25 pigeons)

= $25.00

Horses (1 per acre)

= $100.00

Cattle (1 per acre)

= $100.00

Sheep (1 per acre)

= $100.00

Goats (Nannies only, 1 per acre)

= $100.00

Ratites (1 per acre)

= $100.00

Other (3-25 fur-bearing animals)

= $100.00

 

 

NOTE: Cost of permit is based on the single highest priced permit fee for the selected types of animal on premises.

SECTION 1 – OWNER INFORMATION

Name of Owner

Address of Owner

City / State / Zip

Date of Birth

Phone Number

Address where animals will be kept (if different from owners address):

Lot size of premises where animals are maintained:

Fenced yard?

Yes

No

Total sq. ft

Fenced run?

Yes

No

SECTION 2 – VETERINARIAN INFORMATION

Veterinarian Name:

Address:

Clinic Name:

Phone:

SECTION 3 – ANIMAL INFORMATION & RABIES VACCINATION STATIS

#1

Name:

 

 

 

#2

Name:

 

 

 

Type/Breed:

 

 

 

Type/Breed:

 

 

 

Color:

 

 

 

 

Color:

 

 

 

 

Sex:

Male

Neutered

Female

Spayed

Sex:

Male

Neutered

Female

Spayed

Rabies Vaccination Date:

 

 

Rabies Vaccination Date:

 

 

Microchip #:

 

 

 

Microchip #:

 

 

 

#3

Name:

 

 

 

#4

Name:

 

 

 

Type/Breed:

 

 

 

Type/Breed:

 

 

 

Color:

 

 

 

 

Color:

 

 

 

 

Sex:

Male

Neutered

Female

Spayed

Sex:

Male

Neutered

Female

Spayed

Rabies Vaccination Date:

 

 

Rabies Vaccination Date:

 

 

Microchip #:

 

 

 

Microchip #:

 

 

 

SECTION 4 – ADDITIONAL INFORMATION (If more than four animals, list additional information)

 

#5

Name:

 

 

 

#6

Name:

 

 

 

 

Type/Breed:

 

 

 

Type/Breed:

 

 

 

 

Color:

 

 

 

 

Color:

 

 

 

 

 

Sex:

Male

Neutered

Female

Spayed

Sex:

Male

Neutered

Female

Spayed

 

Rabies Vaccination Date:

 

 

Rabies Vaccination Date:

 

 

 

 

 

 

 

 

Microchip #:

 

 

 

Microchip #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#7

Name:

 

 

 

#8

Name:

 

 

 

 

Type/Breed:

 

 

 

Type/Breed:

 

 

 

 

Color:

 

 

 

 

Color:

 

 

 

 

 

Sex:

Male

Neutered

Female

Spayed

Sex:

Male

Neutered

Female

Spayed

 

Rabies Vaccination Date:

 

 

Rabies Vaccination Date:

 

 

 

Microchip #:

 

 

 

Microchip #:

 

 

 

SECTION 5 – DRAWING OF PROPERTY

(Indicate property line, location of residential dwelling, animal shelter, fencing and show animal waste storage area and drainage paths for animal waste)

N

W E

S

SECTION 6 – REQUIREMENTS

1.Applicant must furnish all required documentation before application will be accepted.

2.Applicant must provide proof of current rabies vaccine for all dogs and cats. Vaccination must be administered by a licensed veterinarian per City Code requirements as specified in 6.04.110 of the City Code. Applicant must provide proof of current dog licenses as required in Chapter 6.04 of the code of the City of Wichita.

3.Not more than one head of livestock shall be kept for each acre of unbuilt land area. Enclosures for large animals must be 200 feet from adjacent dwellings and twenty feet from the property line. Stables, coops, pens and other structures for the housing of animals shall comply with all zoning requirements of the City of Wichita-Sedgwick County Unified Zoning Code. Enclosures for smaller animals must be ten feet from the property line if located within fifty feet of an adjacent dwelling.

4.Per Wichita/Sedgwick Co. Unified Zoning Code and Chapter 6.04 of the City Code, it is unlawful to breed and sell animals in residentially zoned areas in the City. Issuance of this Permit does not authorize the Permit Holder to breed or sell animals. A separate Breeder’s License application must be submitted to permit breeding and sale of animals.

5.Applicant must comply with all City of Wichita and State of Kansas ordinances, statutes, and regulations pertaining to the care, maintenance, keeping, and management of domestic animals.

I have read and understand the above requirements pertaining to the acquisition of an Animal Maintenance Permit and agree to comply with all requirements set forth by applicable ordinances and policies established by the City of Wichita. I agree to allow the Chief of Police or their designee, access to the property where my animals are owned, kept, or harbored for the purpose of inspection and verifying compliance with the regulations and ordinances pertaining to proper animal care and maintenance. If I am granted an Animal Maintenance Permit, I understand that failure to comply with the regulations set out in Chapter 6.04 of the Code of the City of Wichita may result in my permit being revoked for a minimum of 24 months. If revoked, I will not be eligible for any refund of the fees assessed for said permit. I also understand that, in addition to revocation of my permit, violation of any of the provisions, requirements, or conditions of this permit mandated by the City of Wichita may result in legal action taken against me.

I certify that I have not had a license revoked or suspended by the Kansas Department of Agriculture or a City breeder’s license or animal maintenance permit revoked within the last 18 months. Furthermore, I certify that I have not violated any applicable city, state or federal regulations pertaining to the care and control of animals and maintenance of my property.

Signature of OwnerDate

FOR OFFICIAL USE ONLY

ANIMAL CONTROL ID#:

APPROVED

NOT APPROVED

DATE:

 

 

 

 

License Number:

Date:

 

Expiration Date: