ANIMAL LICENSE APPLICATION
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City of Detroit Lakes
1025 Roosevelt Avenue
P.O. Box 647
Detroit Lakes, MN 56502
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License No. ______________ (leave blank)

Vaccination Date_____________________________________ Age___________

Approximate Wieght_____________________ Pet's Name__________________

Color________________ Sex_____________ Breed________________________

Applicant___________________________ Telephone #____________________

City, State, Zip____________________________________________________



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For Office Use				Applicant Signature

*Attach current rabies vaccination certificate to application.
(Will be returned with license)