HomeMy WebLinkAboutMisc Correspondence 150 Nevers Road � State of Connecticut
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`F" Department of Agriculture
{; ,1 165 Capitol Avenue G8A
Hartford,CT 06106
(860)713-2500
ANIMAL IMPORTER EVENT NOTICE
Any animal importer who Intends to offer for sale, adoption or transfer any dog or cat at a venue or
location that is open to the public or of an outdoor location, including, but not limited to, a parking lot
or shopping center, shad provide notice to the Department of Agriculture and the rvtunicipat zoning
enfarcemeni officer of the town where any such sale, adoption or transfer will occur, not later than ten
�__, days prior to such event
d
,a Ai Name} _ CT Anim.ol I mponnt Registration Numbcr
AIR-
Business Straat rasa City swa 71P Code
oats of Evan Mticipat umber o An Fs to bo r cre or o, option,or Transtor
40
Location Description
weve rs �
Cafjon Addre:n ty�,` !`•-'G V��� �� Ci�� State Zip Cado
Meble—
For out of state applicants only
ame Cortnec cut-based agent AgenVs Telephone Number
Streal Address of Gonnackuh aced agent City state 7.ip Code
The undersigned applicant states that all of the information contained herein is true to the best of hisfher knowledge and agrees that said
applicant shall comply with all laws,orders,rulings,regulations and directives issued by the Commissioner of Agriculture.
Printed Name of Regislrani Sign ur f Registrant halo of Signature
For Agency Use Only
Date RecXed Agency Approval
CP
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HF-p,LTH DE.PT.