HomeMy WebLinkAboutApplication �l� -1SZ� b a�-�P_17-E�o��
� ` TOWN OF YARMOUT ,�
� � �� 9�1D
= 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24 51 - "
�'� Telephone(508)398-2231,ext. 1241 �'AY ��l�i�
l�ivisi�n
Faac(508)760-3472 ; H D
T.
,q
APPLICATION FOR OPERATION-2017 � ;�,
POULTRY
PLEASE COMPLETE ALL QUESTIONS ',
E-MAIL
NAME 1;��,r'`7�"(°4"t-�— � 1�.�`'�`+Q-'r' HOME TEL.NO. S�`� a�'1''� 'J��c3 0
LOCATION ADDRESS 1�'��'d 5�-�v�-�� R� � �N�� (�o r'{- m��i . ''
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL �7 NUMBER OF PENS/COOPS � NUMBER OF ROOSTERS J '
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL '
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. �
� , �
TYPE OF SHELTER ���" � �'''��N �``�� P¢°� SIZE OF YARD/PEN AREA �Z 5� �2' '
(WOOD,CONCRETE,ETC.) '
NUMBER OF WATER OUTLETS � WATER TROUGHS + '
�
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN �T��� �'^'"'S '''�' � �'` �` a S �
TYPE OF FACILITY USED FOR MANURE STORAGE �m�c��'� �
METHOD OF DISPOSAL OF MANURE �`«`�`'�'`"�- HOW OFTEN e�`Q'"i D'��.`'e"r °�''!`,� �
I
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? ��►+'*�"� �"^'� '
i
I
�NEWAL
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. i
l
�
Town of Yarmouth taxes and liens must be paid rior to renewal or issuance of your pernrits. �
Please check appropriately if paid: Yes� No (
(
SIGNATURE DATE �1K� �Z �}Ot�1
T
THE FULL POULTRY COiJNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: �POULTRY: 1-9 chickens �30.00 I
10 or more Chickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
�_NO ROOSTER �
TOTAL DUE:$� 3d �
I
12,12,16 f
�
I
�