PET ANIMALS ACT 1951
APPLICATION FOR LICENCE TO KEEP A PET SHOP
To: Babergh District Council* / Mid Suffolk District Council* (please delete as appropriate)
I/We
Of
As proposed occupiers of the premises mentioned HEREBY MAKE AN APPLICATION in
pursuance of the provisions of section 1 of the Pet Animals Act 1951, for a LICENCE
TO KEEP A PET SHOP at the premises, of which particulars are given below.
I/We enclose the sum of £ .00 being the amount of the fee payable for the licence
(Please see Page 2 for alternative method of paying).
Particulars
Postal address of premises and contact
telephone number
Number & size of rooms in which
business will be carried out
Heating arrangements
Method of ventilation
Lighting arrangements
Water supply
Arrangements for food storage
Number
Size
Natural/Artificial
Arrangements for disposal of excreta
Type of animals
Proposed numbers
Parrots
Pigeons
Other large birds
Budgerigars, finches, & other small birds
Dogs
Cats
Rabbits & cavies
Hamsters
Rats, mice & gerbils
Tortoises
Snakes and lizards
Fish (tropical/Marine/Cold water)
Other species
Have you ever been disqualified from keeping a pet shop? Yes*/No* (please delete
as appropriate)
I/We hereby certify that to the best of my/our knowledge the above particulars are
true.
Signed
Date
BDC MSDC PS 1
New applications must be inspected by a veterinary surgeon of our choice before the
application can be considered
Payment of Fee
You are able to pay the fee for this licence by cheque posted to our office or by
credit/debit card over the phone.
If you wish to pay by cheque:1. For premises within Babergh District Council please make your cheque
payable to Babergh District Council
2. For premises within Mid Suffolk District Council please make your cheque
payable to Mid Suffolk District Council
3. Post the form to the Mid Suffolk District Council address below:.
Food and Safety Team
Mid Suffolk District Council
131 High Street
Needham Market
Ipswich
IP6 8DL
If you prefer to pay by telephone:
1. Call 01473 826622 (Customer Services, Babergh District Council), please have
your credit/debit card details ready.
2. For premises in Babergh DC please quote code B4103/H9140,
3. For premises within Mid Suffolk DC quote code M4103/H9140
4. You will be given a payment reference number.
5. You must write that number on this form in the space below.
6. Post the form to the Mid Suffolk District Council address above.
Please note: the administration for animal licensing for premises in both Babergh
and Mid Suffolk Districts is now carried out at MSDC
Please tick one of the boxes below to indicate how you have paid.
I have enclosed a cheque
I have paid by telephone, the payment reference is ………………..
BDC MSDC PS 1