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= 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664 24451 �� `' ° 9 i`
�a Telephone(508)398-2231,ext. 1241 ' �e�' `
Fax(508)760-3472 G3C�CG�ii `��sl�n
Af'� ;' 7 2016
APPLICATION FOR OPERATION—2014
POULTRY '�'�ACTt-f DEP7 �
PLEASE COMPLETE ALL OUESTIONS �jc��c�� ''��� Q�''���9�
E-MAIL �:.: �� ..�. ��. k»
NAME L l 11 �G� L:>Q �� �'� � 1 HOME TEL.NO. SQ�'(� 3 �"(o� I (
LOCATION ADDRESS ^ (��, ►
�L�1 � �`�1�--, � ya f�.WI I� o�.l�l� 4-
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL ��ei�5 NUMBER OF PENS/COOPS NUMBER OF ROOSTERS d
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER ��'f`�` S �e � SIZE OF YARD/PEN AREA ( t�C._��i�
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS WATER TROUGHS l
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN �'1`��� � � CQ��
TYPE OF FACILITY USED FOR MANURE STORAGE �TF Cl s ,� C C�. �_S
METHOD OF DISPOSAL OF MANURE CY �1M � HOW OFTEN � � �QQ-�
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? G� � ��G��Q � w � r�
RENEWAL
��NEW APPLICATION- IF NEW APPLICATION,PLEASE ATTACA A COPY OF PLOT PLAN SHOWING LOT -
LINES AND LOCATION OF STABLE, PEN, ETC.,AND ALL ENCLOSURES. ALSO,A
WRITTEN LETTER OR STATEMENT,SIGNED BY ALL ABUTTERS TO PROPERTY. '
Town of Yarmouth taxes and liens must be paid prior to renewal or issuance of your permits.
Please check appropriately if paid: Yes No
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SIGNATURE DATE
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: �POULTRY� 1-9 chickens $30.00 �
10 or more Chickens $40.00 � �� �
� ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) � � '1��
�NO ROOSTER ��,Y
TOTAL DUE:$ �� �
10/08/13 �/ �, r ��� (Z "r�`" �V�� � 7 � ��` 1�+�, `\ �
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