South Roxana, IL · Madison County

No notary required

Breeding Facility Application

This application is for people seeking a breeding permit in South Roxana and asks about the facility and its animals.

What this form is

Use this application to request a permit to operate a breeding facility in South Roxana. It asks for the facility and applicant details, information about each animal, and confirmation that the facility meets listed care and living-condition requirements. The applicant also authorizes Village inspections and acknowledges the Village’s authority to seize animals found in unsafe or unsanitary conditions.

Who needs it

A person seeking a permit to operate a breeding facility in South Roxana should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the application, with no notarized or sworn attachment identified.

How to submit this form

  1. 1

    Download The Application

    Download the South Roxana Breeding Facility Application PDF.

  2. 2

    Complete The Application

    Enter the requested applicant, facility, and animal information and review the listed facility conditions.

  3. 3

    Gather Attachments

    The document does not identify any attachments to gather.

  4. 4

    Submit To The City

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the South Roxana Breeding Facility Application for?
It is used to apply for a permit to operate a breeding facility and provide details about the facility, animals, and care conditions.
What information does the application ask for?
The form asks for applicant and facility information, details about each animal, and confirmation of care and living-condition requirements.
Do I need a notary for the Breeding Facility Application?
No. The application is signed without a notary; the applicant signs and dates it, and no notarized or sworn attachment is identified.
How do I submit the Breeding Facility Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Breeding Facility Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.