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RESIDENTIAL CHICKEN CLEARANCE Community Development Department Planning Division 10890 San Pablo Avenue, El Cerrito, CA 94530 (510) 215-4330 – FAX (510) 233-5401 [EMAIL REDACTED] Application No: Date Received: Fee: Please discuss your proposed chicken keeping with Planning Staff prior to completing this form. Please print or type legibly. Attach additional sheets if necessary. Incomplete applications will not be accepted. Application Information: Site Address: Applicant Name: Owner Name: Applicant Phone Number: Applicant Email Address: Requirements (per Section 7.08.020(G) of the El Cerrito Municipal Code): 1. Prohibitions on Roosters. Only hens are permitted pursuant to this Chapter. Roosters are prohibited. 2. Limitation on Number. A maximum of four chickens is permitted on properties of at least 4,000 square feet that contain single-family residential dwelling units, as long as the property owner holds a valid Residential Chicken Clearance. 3. Enclosure Requirement. Chickens shall be kept in a Pen that is sufficient to contain Chickens. 4. Location of Coops. Chicken Coops shall not be located closer than 20 feet to dwelling units on adjacent properties. Coops of 120 square feet and smaller shall not be subject to Section 19.06.030(T), Accessory Building Standards. Application Requirements: Completed Application Form Filing Fee One Site Plan, 8.5”x11” size. Site plan shall be drawn to scale and include:  Address of subject property  North arrow and scale  All property lines  Location of street, sidewalk and curb  Proposed location of chicken coop  Location and height of fencing which will enclose the area where chickens are kept  Outline of all structures on the lot  Outline of all homes on directly adjacent lots  Dimensions from coop to all homes on adjacent lots (provide the most accurate information possible if the distances to adjacent homes are not available)  Survey (if available) Certification: I, the undersigned owner of the subject property, have read this application for a Residential Chicken Clearance and certify that the information, drawings, and specifications herewith are true and correct to the best of my knowledge and belief and are submitted under penalty of perjury. Owner’s Signature: Date: I, the undersigned applicant, have read this application for a Residential Chicken Clearance and certify that the information, drawings and specifications herewith submitted are true and correct to the best of my knowledge and belief and are submitted under penalty of perjury. Applicant’s Signature: Date: H:\PLANNING\FORMS\Applications\July 2016\Residential Chicken Clearance - July 2016.doc ---PAGE BREAK--- *QWUG ž(GPEG %WTD *QWUG &KUVCPEGUVQCNN %JKEMGP%QQR &KUVCPEGUVQCNN *QWUG &KUVCPEGUVQCNN 0COG 5KVG#FFTGUU 2JQPG0WODGT 5KVG2NCP