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� °F ` TOWN � OF YARMOUT _� Bo�dof
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= 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664- 4451 -
"4*�" Telephone(508)398-2231,ext. 1241 ��A� � ��� �
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Fax(508) 760-3472 �
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APPLICATION FOR OPERATION —2017
POULTRY y " `
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PLEASE COMPLETE ALL QUESTIONS
E-MAIL lt�'�lC��►C�1�2111zs.,s;'*q� ��
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NAME l�(���M HOME TEL.NO. ��U �Z-���
LOCATION ADDRESS_� ���� �x��.5,�"� C�� l-�i�-���)�,�--�-
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL NUMBER OF PENS/COOPS NUMBER OF ROOSTERS �
PLEASE NOTE: PL ASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER_��.-��--„� SIZE OF YARD/PEN AREA �
(W��D,C NCRETE,ETC.)
NUMBER OF WATER OUTLETS � WATER TROUGHS �
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN � ��,�-C�.�
TYPE OF FACILITY USED FOR MANURE STORAGE��,¢,��,�'—
METHOD OF DISPOSAL OF MANURE HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? C.��c� l5�t ,�---
RENE WAL
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 pai rior,.te�renewal or issuance of your permits.
Please check apprapriately if paid: Yes�.`No
SIGNATURE � DATE / /�(�I f`i
---- - —��
_.....__...
THE FULL POULTR COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: �POULTRY: - ' �30.00
10 or more Chickens 40.00
�ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE:$ O� O
12/12/16