Under section 88.0 of the City of Rockledge Animal Ordinance, per section 1. “Requirements prior to maintaining chickens on property,” I submit this consent form signed by my neighboring houses or 25% of the property owners within my subdivision to the Building Dept.

 

There are _______ properties adjoining mine in the case of no-platted subdivision existing.

Address:__________________________________I have received consent from 100% of them.

 

OR

 

Subdivision Name:___________________________________________________­_________ There are _________ houses within my subdivision.

I have received consent from __________ of the houses to satisfy the 25% required.

 

Please read and sign in the numbered spaces below agreeing with the following statement:

 

I,     name    , understand the changes in the Rockledge Animal Ordinance that allow the keeping of 4 female chickens as pets within city limits subject to the restrictions therein, and give my consent to allow chickens to by kept as pets by my neighbors/those within my subdivision, until such a time as I revoke my consent in writing submitted to the Rockledge Building Dept.    signature   ,    address   .

 

 

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