HARQUAHALA KENNEL PERMIT RENEWAL.PDF

Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT
APPLICATION C.)0 0 \
D New 10 Renewal
Name: --,-114 Kennel Name: LL/i-jr.
Mailing Address: / (0 S ctic) Kennel Address: /3&c s' ,C(1-0 4,/-12_
City: -roki, y1/4 /, 4 State: AZ Zip: Sc S-4-7,2c) City:fr7:y OpA 7-\ -
County Supervisorial District: ,5
Phone: LQ (2 3 ;9- 9 3 CP.2 3 Kennel Phone: a)-g- 3 7-1- -2--2—(02_,
Please complete and sign this application and return it to the above address with payment in the amount of three
hundred twenty-eight dollars ($328.00) within ten (10) days of receipt.
NOTE: Failure to renew the kennel permit by the expiration date of the previous year kennel permit will result in
penalty fees for each dog being assessed at $4 per month for unaltered dog and $2 per month for altered dog in
addition to the permit fee. It is suggested the renewal application be submitted 4 — 6 weeks in advance of the
expiration date to allow timely processing.
Pursuant to Arizona statute and county ordinance, a person must obtain a kennel permit issued by the Board
of Supervisors if the person operates a kennel in which there are five or more dogs which are not individually
licensed. A.R.S. §11-1009(A). A kennel is defined as an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions." A.R.S.
§ 11-1001(8).
An appointment will be scheduled for inspection of the kennel premises by an Animal Control Officer upon
receipt of this kennel permit application and fee. This kennel application properly executed and a copy of the
inspection report will then be forwarded to, and must be approved by, the Mar/cope County Board of
Supervisors. The kennel permit form will be sent to you after approval and will be valid for one year from the
date of the Board's approval.
NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 for each additional visit at time of inspection. Failure of inspection may result in
denial of the kennel permit and require individual licensing of each dog under the provisions of A.R. S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1/We assume complete responsibility for the kennel at the premises for which 1/we are making
pplication for a permit and understand that "kennel" means an enclosed, controlled area, inaccessible to

other animals, in which a person keeps, harbors or maintains five or more dogs under controlled
conditions (ARS 11-1001).
C-2--_41/VVe certify that I/We have dogs and that the kennel meets the definition in statute.
IANe certify that INVe have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or V3-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. .(1,"We certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
orb' , ises of the above named kennel have been properly vaccinated against rabies by a veterinarian licensed to
practice in the state of Arizona and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog.
6. I ANe certify that INVe are submitting a valid copy of the rabies vaccination certificate for each
dogrithis application.
6. f)We understand that a dog remaining within the kennel is not required to be licensed individually under
A .S. § 11-1008. I/we also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.
7. 0,4-019We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
penaty of twenty-five dollars in addition to the annual fee.
8CAyti.A INVe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
wr' en notification from the county enforcement agent is guilty of a class 2 misdemeanor..
The undersigned understand that that the kennel permit does not authorize the operation of any type
siness and is solely used for the purpose of licensing multiple dogs.
I/We certify that all of the information INVe have provided is true and accurate under penalty of law.
Applicant Signature Date:
Applicant Signature Date:
For Official Use Only:
Copies of Valid Rabies Vaccination Certificates for each dog attached
Copy of Person's Valid Identification Attached
Type of Identification submitted
BOS Approval Date Term of Permit
October 2015

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
httpllbets.maricopa.gov
Receipt Number: R18-333965 Receipt Date: 01/08/2018
Person ID: P0610901
Phone: 928 3722262
HARQUAHALA KENNELS • - 1/8/2018 1:33:44PM
10602 ,S 540TH AVE •
.- TONOPAH, AZ. 85354 -
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K19-000018 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash:
Check: $328.00
Credit Card:
Total Payments Received: $328.00
Thank You!
Would you like to share your experience with our service to you? Change: $0.00
Please visit our website at http://pets.maricopa.gov and click on Balance Due: $0.00
"Contact Us" to email your comments for our review.
Animal Information:
A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX TRICOLOR DOG
License Information:
Tag Number: License Expires: Animal#
Please retain this receipt with your pet's records
schenone WBUSOFF

Maricopa County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K18-000018
PREMISE INSPECTION
Number of Dogs: 7
Name: Arthur McKay Kennel Name: Harquahala Kennels
Mailing Address:10602 S. 540th Ave. Kennel Address: Same as Mailing
City: Tonopah State: AZ Zip: 85354 City: Tonopah Zip: 85354
County Supervisorial District: 5
Phone: 623-399-3623 Kennel Phone: 928-372-2262
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a valid rabies vaccination certificate? YES
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
person keeps, harbors or maintains five or more dogs under controlled conditions?
YES
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND N/A DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
Kennel has already been expected in the past and there is no history at the address
indicating any issues with the dogs under this permit.
Deputy Enforcement Agent & Badge #: A. Romero RC4
Date: 1/8/18
October 2015

RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASHAV Form 5!
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Cat D Female 0 12 rno. or olde 20 - 50 lbs. -PI tA5Kp
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