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2. Application for Keeping of Chickens
   Animals for the purpose of this application shall be defined as any animal, bird or fowl, and fish for the purpose of food production or for keeping as a pet which is not specifically prescribed in section §335-94, definition of household pet. The permit issued pursuant to this section shall have a duration of one year, unless the permit is revoked or lapses pursuant to the provisions of Subsection F or G, above, prior to the expiration of said term. Permit renewals shall require an inspection by the Zoning and Planning Administrator or their designee prior to the issuance of any renewal. The fee for said renewal shall be 50% of the permit application fee stated in this Article.
4. Please read section 95-21 for a comprehensive detail of requirements for the Keeping of Chickens
   Section 95-21

   Applicants are strongly encouraged to review this section of Village Ordinance in its entirety prior to filing application for the Keeping of Chickens.
6. This application is*

   1. New ($190)
   2. Annual Renewal ($95)

   Fees are non-refundable.
8. Full Name of Applicant*
9. Full Elm Grove Address*
11. Applicant Contact Phone*
12. Applicant Email*
14. Property Owner Name
    Only if different than applicant.
15. Property Owner Permission
    Only if different than applicant.
17. Number of Chickens*
    -- Select One --1234

    Maximum 4 Chickens; No Roosters Allowed
19. Description of Coop*
    Coop must be covered, predator proof, provide adequate shade in summer and warmth in winter. Coop may be part of yard shed or garage but may not be on top of a building. Attach photo(s) and/or drawing. A description of the plan to ensure the proper maintenance and cleaning of the area where the chickens will be kept. A description of the plan to ensure the proper feeding, shelter, and care of the chickens.
20. Coop Square Footage*
22. Upload Coop Rendering /Plan Set*
    A description and elevation and floor plan drawings of all fencing, coops and other structures to be used for enclosing the chickens, which will require a separate review and approval of the Building Board prior to issuance of any permit. The drawings shall show any electrical and plumbing fixtures provided for such coop, fenced area and other structures.
23. Sample of Coop Rendering/Plan Set
    https://www.elmgrovewi.org
25. Upload Plat of Survey or GIS Map with coop/run site plan*
    A description and scale drawing of the lot that clearly represents all existing structures thereon, the location where the chickens will be kept on the lot, the location and dimensions of the coop and the run, and the shortest distances of both the coop and run to adjacent lot lines and to the principal structure on the lot.
26. Sample of Survey or GIS Map with coop/run site plan
    https://www.elmgrovewi.org
28. Upload of Neighbor Sign Off Sheet*
    All adjacent neighbors will be notified of the intent to keep chickens, and have 30 days to file an objection. If any neighbor objects, the application must go to the Plan Commission for review.
29. Sample of Neighbor Sign Off Sheet
    https://www.elmgrovewi.org
31. Waiver of Special Contract Fees Form*
    Any special professional services required to process your application or finalize your project, will be billed to you in accordance section 30-3. These services include, but are not limited to, work of the Village Attorney and Village Engineer.
32. Blank Waiver of Special Contract Fees Form
    https://www.elmgrovewi.org
34. Copy of Livestock Premises Registry Permit Required*
    Proof of registration of all chickens with the State of Wisconsin Department of Agriculture, Trade and Consumer Protection.
35. State of Wisconsin Department of Agriculture, Trade and Consumer Protection Chicken Website
    https://datcp.wi.gov/Pages/Programs_Services/PremisesRegistration.aspx
37. ACKNOWLEDGEMENT
    By submitting this form, I certify that the information and plans submitted are true and accurate to the best of my knowledge. I also give permission to Village zoning officials and Police Officers to enter my property for inspection purposes. The applicant must adhere to all rules and regulations set forth by the Village of Elm Grove.
39. Applicant Checklist *

    1. Complete Application
    2. Fee payment ($190 or $95)
    3. Signed Waiver for Special Contract Fees
41. Timeline

    1. Submit Application and Payment
    2. Neighbors will be notified - 30 days from date of mailing, neighbors have the ability to file objections.
    3. If neighbor(s) object, application to be reviewed by Village Plan Commission. Ask Zoning Administrator for additional information.
    4. Applicant attends Building Board
    5. If approved, Village inspects the property and issues building permit.

    The Zoning and Planning Administrator shall provide notice of the application, by regular mail, to the subject property owner (if not the applicant) and to the owners of all properties that directly abut the subject property at any point, including those properties that abut a path or right-of-way directly across from the yard on the subject property where the chickens will be kept.

43. PERMITS EXPIRES ONE (1) YEAR AFTER ISSUANCE.

    The chickens shall be immediately removed from the property upon lapse, revocation or expiration of the permit for keeping chickens. The chicken coop, the run, fencing and associated structures and structural elements shall be completely removed from the property within 15 days of the lapse, revocation or expiration of the permit for keeping of chickens.

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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit Submit and Print

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