HomeMy WebLinkAboutApplication ���—�Z/�O�t p—rs—�zo�_02
� °� ��. TOWN OF YARMOUTH �,
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= 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
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��n' Telephone(508)398-2231, ext. 1241
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Fax(508) 760-3472 �,�r�°;!;` ,�5�.4'� �
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APPLICATION FOR OPERATION -2017 �.. �'� �i (��� < ��
POULTRY r�:
PLEASE COMPLETE ALL QUESTIONS
E-MAIL �GC�i.l�'l()�-�� y Z����,�
NAME , '"� �s / / � � I HOME TEL.NO. _7w.���(
LOCATION ADDRESS � � � �I' ` VV 'f" (�/ ��
MAILING ADDRESS(IF DIFFERENT) �(A�e-
NUM$ER OF FOWL__� NUMBER OF PENS/COOPS ( NUMBER OF ROOSTERS �
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER ��OGC� SIZE OF YARD/PEN AREA `7 )CI Z��'�
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS O WATER TROUGHS �
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN�j,n
TYPE OF FACILITY USED FOR MANURE STORAGE (�U IrYI j� �� S h �i q�
METHOD OF DISPOSAL OF MANURE �'VI HOW OFTEN (X����
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? �' jL. �-�
�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 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 P LTRY COUNT IS NOT TO EXCEED TI�E AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: � POULTR • 1-9 chickens �30.00
r more ickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
��NO ROOSTER
TOTAL DUE: $ �� ,Q�
12/12/16