Pet Variance Attestation

lA ESTANCIA ADDITIONAL PET VARIANCE REQUEST FORM

* Indicates required field

Requestor type? *

Full-time resident owner Part-time resident owner

Name: *

First

Last

Physical address, lot #, and description of property fence: *

Phone Number: *

Email: *

Best time to reach you: *

Veterinarian name and phone #: *

CURRENT PET INFORMATION (Complete a row for each pet including: type of pet, indoor/outdoor/both, age, weight, gender, spayed/neutered, current on vaccinations, Kanab City dog license # (required for dogs)): *

Have you received complaints from neighbors related to your pets? If yes, what were they and how did you address them? Are you aware of any active complaints?: *

ADDITIONAL/NEW PET REQUEST INFORMATION (Type of pet, indoor/outdoor/both, age, weight, gender, spayed/neutered, current on vaccinations, Kanab City dog license # (required for dogs)): *

Date you hope to acquire additional pet: *

ATTESTATION - Adherence to the following is required: *

Outside in yard only if able to control excessive noise or barking. Never left outside alone when homeowner or care provider is not within the home to control above. Keep waste picked up within yard. Keep dogs leashed at all times unless within the dog park. I/we have attached below OR emailed ([email protected]) the Kanab City additional pet variance approval (for dogs).

Kanab City pet variance approval upload *

Max file size: 20MB

Signature (By typing your name in this box you agree to abide by the La Estancia additional pet variance requirements.): *

Submit

La Estancia Pet Variance form

lA ESTANCIA ADDITIONAL PET VARIANCE REQUEST FORM