HomeMy WebLinkAboutApplication Ml- o10 o f 5-4
TOWN OF YARMOUTH
Board of
Health
_"11' 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664- -
Telephone(508)398-2231, ext. 1241
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" Fax(508) 760-3472 DiVicionp
APPLICATION FOR OPERATION -2019 tri P1'-
POULTRY .-4
PLEASE COMPLETE ALL QUESTIONS
E-MAIL da, fop � b� �hite
NAME M- �tS,,.�
(>�-e�`.�"-� HOME TEL.Nc�.�ca 362 � I
LOCATION ADDRESS is- e /j 4o L�
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL 0 NUMBER OF PENS/COOPS 02. NUMBER OF ROOSTERS 0
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. m
TYPE OF SHELTER l�l/�C W I f(._-- SIZE OF YARD/PEN AREA p 0 i (�L�U
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS / WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 't-1 N C.jj S / I-►,Uoc- Sited
TYPE OF FACILITY USED FOR MANURE STORAGE 0 boJ //
METHOD OF DISPOSAL OF MANURE 1N1Q HOW OFTEN 3 (o 91-1-0-40
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? W 1 /W4Dc.d
LNEWAL
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 DATE
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: V POULTRY: 1-9 chickens 1 10
10 or more Chickens , 0.114
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
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TOTAL DUE: $ 0.0 0
11/07/18