Backyard Hen License Application

Personal information collection is necessary for the administration of County of Brant By-law 14-25 Backyard Hens By-law, authorized by the Municipal Act, 2001, S.O. 2001, c. 25. Personal information collected is managed under the provisions of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M. 56, as amended, and will be used for the purpose of processing your application.

The license application takes place in four (4) parts:

Application for License
Approval and Payment
Inspection of Backyard Hen Coop
Issuance of Backyard Hen License

Please complete the form below. All sections must be filled out to process application.

Section A: Applicant Information

Applicant Full Name

Address

City

Province

Postal Code

Phone Number

Email Address

Are you the owner of the property?

Yes

No

Section C: Applicant Declaration

I, the applicant as listed above, of the property listed above in the County of Brant, do solemnly declare that:

I have reviewed the following documents:

a. County of Brant Website regarding Backyard Hens

b. County of Brant By-Law 14-25 – Backyard Hens

c. “Bird Health Basics” by the Canadian Food Inspection Agency

d. Ontario Ministry of Agriculture, Food and Rural Affairs (OMAFRA) on how to Raise Healthy Small Flock Poultry

e. OMAFRA Factsheet titled “Rodent Control in Livestock and Poultry Facilities”

f. Reviewed the Canadian Food Inspection Agency’s “Basic Biosecurity Principles for Poultry” and “Biosecurity for small flock and pet bird owners”

I acknowledge that a County of Brant designate may attend and inspect the property as deemed necessary to assess and ensure compliance with the requirements of any applicable by-law, statute or regulations.

Yes

No

I have verified that there are no restrictive covenants on title prohibiting keeping hens on the property.

Yes

No

I understand that all hen owners must be registered with the Ontario Chicken Farmers Association.

Yes

No

I understand a hen license may be revoked when the applicant does not meet the requirements of the Backyard Hen By-law, the applicant provides false information, and the applicant fails to pay a fine imposed by a court for a contravention of the By-law.

Yes

No

I understand that I may receive information pertaining to infection prevention and control practice as well as bio-security alerts to the contact information I have provided.

Yes

No

I will provide proof of registration with the Chicken Farmers of Ontario (CFO) for all birds that will be kept on the property.

Yes

No

I am the applicant for the granting of a permit authorizing me to keep backyard hens pursuant to By-Law 14-25 within the County of Brant now and hereafter in force. I undertake to conform to the terms, conditions and regulations set out in By-Law 14-25 and understand that I must comply with all applicable regulations and requirements of:

every bylaw of the County of Brant; and
every Provincial and Federal Act and regulation made under such an Act.

Acknowledgement and Agreement

Yes

No

I understand that any permit issued pursuant to the said application is subject to revocation.

Yes

No

Please upload the Site Plan depicting the following:

Lot dimensions and proposed location of hen coop;
Dimensions of the hen coop and outdoor run;
Setbacks from lot lines and any other structure/building on the lot;
Setback from any dwelling located on any lot sharing a lot line with the lot subject to the application;
Setback from any waterway and private well

Site Plan

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

The statements contained in this application are true and I make this solemn declaration conscientiously believing it to be true and knowing it is of the same force and effect as if made under oath and by virtue of “The Canada Evidence Act”.

Applicant Name

Applicant Signature

Clear