Chicken Permit Application

Chicken Permit Application

No roosters are allowed within city limits. There is a limit of 6 chickens per single-family dwelling. No chickens are allowed for multi-family dwellings.
Fees: There is a $20 annual fee for a chicken permit. Fees may be paid in person with cash, check, or credit card. Fees may be paid by mail with check. Fees may also be paid by calling SBARC at 574-235-9303.

Want to learn more about urban chicken regulations? Please see sections 5-37 “Urban Chicken Regulations” & 5-70 “Urban Chicken Permit” of the Municipal Code.
Your Information
Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Zoning Type of this Address
Not sure of zoning? Look up your zoning type with this map.
Email
example@example.com
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearWe require this for background checks.

Describe Chickens (Limit of 6 chickens per single-family dwelling.)

Photo Submission

You are required to submit pictures of both the coop and pen with your application. Please let us know if you are going to come in-person to submit photos, otherwise you will be directed to upload them on this form.
Instead of submitting photos, I would like to request an in-person inspection by an Animal Welfare Officer
I will come in-person to submit pictures of my coop instead of submitting them online.

Signature
I hereby make an application to operate a chicken flock within the city limits of South Bend. I have not been convicted of cruelty to animals and affirm the information I have given on this application is true and correct.
Printed Name

First NameLast Name
Should be Empty:

Your Information