Chicken Permit Application Worksheet — Free Printable

🐔 HenRules

Chicken Permit Application Worksheet

HENRULES.PAGES.DEV — Fill before your first permit office visit

① Your Information

Property Address

City / Municipality

Your Name

Zoning Classification

Check county GIS map

Owner or Renter?

Renters need landlord consent

HOA Member?

Yes / No — check CC&Rs

Permit Fee

Confirm with permit office

② Lot Dimensions & Setback Measurements

Lot Width (ft)

Lot Depth (ft)

Coop → Rear Property Line (ft)

City requires: _____ ft

Coop → Left Property Line (ft)

City requires: _____ ft

Coop → Right Property Line (ft)

City requires: _____ ft

Coop → Nearest Neighbor House (ft)

City requires: _____ ft

Coop Width × Depth (ft)

Run Width × Depth (ft)

SITE PLAN SKETCH

Draw your lot boundary, house location, and proposed coop position.
Label all setback distances from coop to property lines and neighbor's house.
North arrow optional. Hand-drawn is fine — accuracy matters more than neatness.

③ Flock Details

Number of Hens Requested

City max: _____ hens

Breed(s)

Any Roosters?

Almost always: No

Source of Birds

Hatchery / farm / feed store

④ Documents to Bring

Completed city permit application form

Available at permit office or city website

Site plan / lot sketch with setback measurements labeled

This worksheet's diagram above — hand-drawn is fine

Permit fee (cash / check / card — confirm accepted methods)

Amount: $_______

Photo ID

Proof of address (if different from property address)

Neighbor notification forms (if required by city)

Ask permit office whether required. Get neighbors to sign before applying.

HOA approval letter (if in HOA — check CC&Rs first)

Landlord written consent (if renting)

Property survey or county parcel map printout

To verify lot dimensions — find at county GIS website

⑤ Neighbor Notification Log (if required)

Neighbor Address	Notified On	Method	Signature/Response

⑥ Notes & Follow-Up

Permit office contact name

Phone / email

Application submitted on

Expected decision date

Permit number (when issued)

Annual renewal due date

Additional notes: