Clark County Animal Facility License
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Application Type
New Application
Renew License
Enter your account number
Pet Owner Information
Name of Business:
Street Address:
City
*
State
*
Zip
*
Mailing and physical addresses are the same
Mailing Address
*
Mailing City
*
Mailing State
*
Mailing Zip
*
E-Mail Address
*
Primary Phone
*
Secondary Phone
Supervisor /Manager:
*
Prime Contact
Owner(s) Name:
*
Address
*
City
*
State
*
Zip
*
Owner's Phone
*
Driver's License No
*
Driver's License State
*
Hours most Convenient for onsite inspection
*
Average number of animals housed:
Number of Dogs
*
Number of Cats
*
Number of Birds
*
Number of Rabbits and rodents
*
Number of Other Vertebrates
*
Select all Kennel Types that apply
Kennel
Grooming Parlor
Pet Shop
Training
Combination
AnimalShelter
All Other facilities