St. Jacob, IL · Madison County

No notary required

Chicken Application

St. Jacob residents use this application to request approval to keep chickens and provide applicant, emergency contact, and flock information.

What this form is

The application requests approval to keep chickens in the Village of St. Jacob and asks for the applicant’s contact details, emergency contact, and number of chickens. Applicants initial statements confirming they received and read the terms of Ordinance 16-578, then sign and date the application. The form states a maximum of five chickens and no roosters; the office-use section lists an annual fee of $20.00.

Who needs it

A St. Jacob resident seeking approval to keep chickens in the village 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 application is signed and dated without a notary; the applicant initials the statements confirming receipt and review of the ordinance.

How to submit this form

  1. 1

    Download The Application

    Download the Chicken Application PDF.

  2. 2

    Complete The Applicant Details

    Enter your contact information, emergency contact details, and the number of chickens.

  3. 3

    Initial And Sign

    Initial both ordinance statements, then sign and date the application.

  4. 4

    Submit To The City

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

Frequently asked questions

Do I need a notary for the Chicken Application?
No. This application is signed and dated without a notary. Applicants also initial statements confirming they received and read the ordinance.
What information does the Chicken Application ask for?
It asks for the applicant’s name, phone, address, and email; emergency contact details; and the number of chickens. It also has spaces for initials, signature, and date.
How do I submit the Chicken Application?
Submit it to the city department named on the form; check the city website for current contact details. The form lists an annual fee of $20.00, payable by cash or check.
How many chickens may I keep under this application?
The application states a maximum of five chickens and no roosters. It also asks applicants to initial statements about receiving and reading Ordinance 16-578.

Need something notarized?

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