Application to Keep Urban Chicken/Fowl

Please review the Urban Chicken and Fowl Policy and then fill out this form to apply to keep urban chickens and other fowl on your property within the city limits of Adel.

Any questions can be directed to Steve Nichols, Code Compliance Officer: snichols@adeliowa.org

Application for Urban Chicken/Fowl

"*" indicates required fields

Applicant's Name*

First Last

Applicant's Phone Number*

Applicant's Email Address*

Applicant's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is the applicant a renter for the property in which the urban chicken or fowl will be kept?*

Yes

Property Owner's Name (if applicable)*

First Last

Property Owner's Phone Number*

Property Owner's Email*

Property Owner's Consent*

I have contacted the property owner and have their consent to keep urban chickens and other fowl on the property.

Please list the type of fowl that will be kept on the property:*

Please list the number of fowl that will be kept on the property:*

Please describe the fowl enclosure(s):*

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