Loading...
HomeMy WebLinkAboutApplication 1.7...0064,044-1,9-411-33stt-Q-z. TOWN OF YARMOUTH 4 Board of 4. —v 211 _4% 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-V-4564' MA EESE Telephone(508)398-2231, ext. 1241 . ;;,;v n Fax(508) 760-3472 APPLICATION FOR OPERATION-2019 APR U 4 2019 POULTRY HEALTH DEPT. PLEASE COMPLETE ALL QUESTIONS E-MAIL J1�r1d u � Ite1 Cys blb NAME /-)12 C i I HOME TEL.NO. .5-4 7 13;3-4 ( LOCATION ADDRESS 4'i �( v . Xa..r © c2 ( C, MAILING ADDRESS(IF DIFFERENT) NUMBER OF FOWL NUMBER OF PENS/COOPS / --- NUMBER OF ROOSTERS Q PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF fTHE HEALTH DEPARTMENT. TYPE OF SHELTER /nit - \ h Ci SIZE OF YARD/PEN AREA 3 �C 1?- (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS / WATER TROUGHS / TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN tri-t, t ea_ v 1 TYPE OF FACILITY USED FOR MANURE STORAGE re, WO O �cL w•40 to�� I METHOD OF DISPOSAL OF MANURE rn `e, cJ C'CL V\ HOW OFTEN k.1 ,, y PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? -- V 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 SIGNATURE 14DATE ' 3c) —1? 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) NO ROOSTER TOTAL DUE: $ 30.00 11/07/18