HomeMy WebLinkAboutApplication r
- -. , ���-00�
°' ` TOWN OF YARMOUTH ��of �
� ��
I 146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 H��
Telephone(508)398-2231,ext. 1241 �N�� '
Fax(508)760-3472
[,��i s�-�;��J;�_=_;
APPLICATION FOR OPERATION-2011
POULTRY ��2 ��€�a; � �� � ;f� .
7 �
v �.` ��
� �� �'�.. ��� H�ALT'�i �E�T. ���
PLEASE COMPLETE ALL QUESTIONS �; �`- �
�� .
NAME ''r' c��'� HOME TEL.NO. �� V --����_
r..
LOCATTON ADD �� �
MAILING ADDRESS(ff DIFFERENT)
r — --- ':.
. ,.;�_—NUIGISEI�OF PENS/COOPS � — MJMg�R OF R045TERS �
TYPE OF SHELTER V�C � S1ZE OF YARD/PEN AREp < (3.c�..
(WOOD,CONC TE,ETC.)
NUMBER OF WATER OUTLETS '� WATER TROUGHS `
TYPE O�'STORAGE FACII.ITY USED FOR FEED/GRAIN �'�'�
TYPE OF FACILITY USED FOR MANURE STORA,GE tV��--�� ,
r
METHOD OF DISPOSAL OF I�i��TLTRE ��Q��,s�-- HOW OFTEN ��Y�� '
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? \ p
--=.�--��.,�s� � 4 � _
c x�x�w�,
NEW APPLICATTON- IF NEW APPLICATION, PLEASE ATTACH A COPY OF PLOT PLAN SHOWING LOT
LINES AND LOCATTON OF STABLE, PEN,ETC.,AND ALL ENCLOSURES. ALSO, A
WRIITEN LETTER OR STATEMENT,SIGNED BY ALL ABUTTERS TO PROPERTY. '
Towa of Yermouth taxes end liens must be paid prior to renewal or issuance of your permits.
Please chocic apprapriately if paid: Yes No
SIGNATL7RE DATE
THE FULL POiTLTRY COiTNT I3 NOT TO EXCEED TI�AMOQNT OF PRIOR YEAR'3 TOTAL
FEE3: POULTRY: 1-9 chickens 530.00
10 or C�luckens S4p.pp
ROOSTER (NOTE:SP$CIAL Ap'pROVAL REQUIRED FOR ROOSTERS)
TOTAL DIIE:S�Q,_Q,Q
10/26/10