Application for Permit to Keep Pot-bellied/Mini Pig I hereby make application for a permit to keep pot-bellied/mini pigs as pets within the City of Knoxville under the provisions of City of Knoxville Animal Ordinances Chapter 5, Article IV, Section 5-102(a)(4) and base my application upon answers to the following questions:Name(Required) First Last Date(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address(Required) Street Address City ZIP code Home PhoneWork PhoneEmail Does the Applicant?Does the Applicant Own the property where the pot-bellied/mini pigs will be located? Lease (or occupy as other than an owner in fee) the property where the pot-bellied/mini pigs will be located? IF the Applicant leases (or occupies as other than an owner in fee) the property where the pot-bellied/mini pigs will be located, please provide the following information: First Last Address(Required) Street Address City ZIP code Home PhoneEmail Veterinarian Information (*REQUIRED*):Name First Last Office Address(Required) Street Address City ZIP code PhoneEmail Prior applications for permits or licensesHas the Applicant:Been denied any type of license by the City of Knoxville? Yes No Had any type of license revoked in the City of Knoxville? Yes No Been charged with a violation of any animal law or code? Yes No If the answer to any of the preceding questions is Yes, please explain below if necessary.Pig InformationNumber of pigs to be included on this Permit: Pig 1SpeciesPig NameWeightAgeDescription of Pig (markings, coloring)Pig 2SpeciesPig NameWeightAgeDescription of Pig (markings, coloring)Pig 3SpeciesPig NameWeightAgeDescription of Pig (markings, coloring)Please attach a color photo of the pig(s). Drop files here or Select files Max. file size: 256 MB. List all locations where the pig(s) might be kept other than the Applicant’s address:Terms and Conditions(Required) I consent Read the following terms of the application for a permit to keep pot-bellied/mini pigs and; after carefully reading, understanding and considering the following; sign and date signifying your accord and agreement with those terms. I understand that, should my application be accepted, I am being granted a privilege, not a right. I acquire no vested interest in continuing to keep Pot-bellied/Mini Pigs within the City of Knoxville beyond the stated terms of this permit. I understand that neither the City of Knoxville nor any of its instrumentalities, agents, or employees makes any representations as to continued rights to keep, sell, or maintain Pot-bellied/Mini Pigs within the City of Knoxville or to extend the duration of the permit or grant additional permits in the future. I absolve the City of Knoxville of all liability flowing from any damage or harm that I or another granted authority under this permit might cause, by negligence or otherwise, in the enjoyment of the privileges granted therein. I assert that I have read and understand the relevant provisions of the Animal Ordinances in Chapter 5 of the City of Knoxville Code and agree to comply with all relevant provisions of those ordinances governing the treatment, sale, transport and care of the animals in question and understand the criminal and civil consequences of violating those ordinances. I further understand that, in the event of a public health or safety emergency, I agree to immediate compliance with directions of public health officials and Young-Williams Animal Services and agree to allow those officials to enter, seize control, and/or close my operations if a situation threatening the public health and/or safety develops or is discovered.Applicant SignatureDateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Application Fees Please remit this form along with the $25.00 application fee. Fees can be paid online or by check. Make checks payable to Young-Williams Animal Center to the following address: Young-Williams Animal Center ATTN: Animal Services Admin - Permits 3201 Division Street Knoxville, TN 37919 If you have questions relating to this application, please contact Young-Williams Animal Services: Email: [email protected] Phone: (865) 407-2229