scan0014_(1).pdf

The document is a City of Pittsburgh Dog License Application form (Form DL-1) for the Department of Finance, located at 414 Grant Street in Pittsburgh, Pennsylvania. The application allows dog owners to obtain a license for one, three, or twelve years, with varying fees based on the dog's neutered/spayed status. License fees range from $10-$20 for one year, $25-$50 for three years, and $75-$175 for a lifetime license, with reduced rates for spayed/neutered dogs.

The form requires dog owners to provide details including the dog's name, breed, color, age, and gender, along with the owner's contact information. A $30 fee will be assessed for returned checks, and applicants are instructed to complete all required information, include a spay/neuter certificate, and submit payment by check to the City of Pittsburgh Treasurer. The application is part of the city's annual dog licensing process, which helps track and regulate dog ownership within the municipality.