HomeMy WebLinkAboutApplication . _ �- �7—o r3 6d�P—cs—«c8--oz
� °� �� TOWN OF YARMOUTH Board �
+� � Heal
= 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 �
YATTACNE� ���.
� Telephone(508)398-2231, ext. 1241 � � ������n -,
Faa�(508) 760-3472 � �" � ;
� JAN 0 9 201� ��
� APPLICATION FOR OPERATIQ� �.�117 ` �'�� � -� F-«� '�
- � .-.. �
POULTRY � �
�,� a>� (��( �—
�" � ��UU �
, _�..
� �� �+ � -Y :..a�'�.' - _
PLEASE COMPLETE ALL QUESTIONS � rn
� E-MAIL ` � �r I 6C6�
NAME HOME TEL.NO. S�$� 3`��D�I�
LOCATION ADDRESS � C9 �
MAILING ADDRESS(IF DIFFERENT) �
NUMBER OF FOWL_�_ NUMBER OF PENS/COOPS NUMBER OF ROOSTERS C�
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PE ISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER C7 SIZE OF YARD/PEN AREA (�� s
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS � WATER TROUGHS �-
, ►
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN
TYPE OF FACILITY USED FOR MANURE STORAGE 01�'��/Y)
METHOD OF DISPOSAL OF MANURE Q H9W OFTEN �
�
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?
�RENEWAL
NEW APPLICATION- IF NEW APPLICATION, PLEASE ATTACH A COPY OF PLOT PLAN SHOWING LOT
LINES AND LOCATION OF STABLE, PEN, ETC.,AND ALL ENCLOSURES. ALSO,A
WRITTEN LETTER OR STATEMENT,SIGNED BY ALL ABUTTERS TO PROPERTY.
Town of Yarmoutl:taxes and liens must be paid rior to renewal or issuance of your permits.
Please check appropriately if paid: Yes� No
SIGNATURE � DATE ,�� � '—��/ �
THE FULL POULT Y OUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: _�POULTRY 1-9 ' �30.00
or more Chickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE:$ 3O.�
12/12/16