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Pet Animals Act 1951 (as amended)
Application for a licence to keep a Pet Shop
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Please send completed applications to:Wigan Council, Licensing Section, Town Hall, Library Street, Wigan, WN1 1YN
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Type of Application
First Grant
Renewal of Existing Licence
Applicants Details
I / We
Of
(home / registered
address)
Tel No.
as [occupier(s)] [proposed occupier(s)]* of the premises mentioned below, hereby apply for a
Licence to keep a Pet Shop under the provisions of Section One of the Pet Animals Act 1951 at
those premises.
* delete as appropriate
I / We enclose the fee payable for the licence for which this application is made. (Please make
cheques payable to “Wigan Council”)
Details of premises for which application is made
Name of Business
Details of premises for which application is made cont’d…
Full postal address (inc.
postcode)
Telephone Number
Opening hours
Number and size of rooms in
which business will be
carried out
Heating Arrangements
Method of Ventilation
Lighting Arrangements (both
natural & artificial)
Water Supply
Food Storage Arrangements
Arrangements for disposal of
excreta and waste
Signed
…………………………………………………………………………
Print Name
………………………………………………………………………...
Date
…………………………………………………………………………
Position (state capacity if applying on behalf
of a company or partnership)
…………………………………………………………
Please provide details of the pets to be sold, age at which they are to be sold and their
accommodation on the Schedule overleaf Schedule of pets to be sold
Type of Animals
Proposed
Numbers
Budgerigars, finches
and other small birds
Other large birds
Parrots
Pigeons
Cats
Dogs
Hamsters
Rabbits and cavies
Rats, mice and
gerbils
Snakes and lizards
Tortoises
Fish – Cold water
Fish – Marine
Fish – Tropical
Any other species
(please specify)
Normal times of attendance at premises
when they are closed
Details of Accommodation
Age at
which to be
sold
Is any person named on this form disqualified from the keeping of
any animal under the Protection of Animals Act 1911 (as
amended) or the Protection of Animals (Scotland) Act 1912 (as
amended)?
Is any person named on this form disqualified from the keeping a
Pet Shop?
Yes
No
Yes
No
If yes, please give details:-
I / We certify that to the best of my / our knowledge and belief, the particulars set out on
this application are true.
Signed
…………………………………………………………………………
Print Name
………………………………………………………………………...
Date
…………………………………………………………………………