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2. Animal License Variance Request

   If you wish to have more than the allowed two pets per household, please submit this form, along with a $100 non-refundable application fee.

   • The City will send letters to surrounding neighbors soliciting their support or objections to the issuance of the variance.
   • A Neighborhood Services officer will conduct an inspection of the exterior of your property.
   • You will be notified of the approval or denial of the Animal License Variance.
4. First Name*
5. Last Name*
7. Address*
9. Phone Number*
10. Email Address*
12. Reason for requesting a variance:*
14. Please list the type, breed and name of the animal(s) you wish to receive a variance.*
16. Please list the animals you currently have licensed in Roeland Park. Include type of animal, breed, name.*
18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
20. Electronic Signature*
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field