HomeMy WebLinkAboutApplication 4oO-c60 34 - /7-3 4(13-03
TOWN OF YARMOUTH Board of
Ot,
_ 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664.24451 I 1
Telephone(508)398-2231,ext. 1241 ` •
Health
Fax(508)760-3472 E 10 117®lili'n
2.1z2o ULC 1 2 2019
APPLICATION FOR OPERATION-40:119
POULTRY HEALTH DEPT.
PLEASE COMPLETE ALL QUESTIONS
E-MAIL aryabina@yahoo.com
NAME ANASTASIA ROSA HOME TEL.NO.508-815-6199
LOCATION ADDRESS 45 REID AVE W YARMOUTH MA 02673
MAILING ADDRESS(IF DIFFERENT)
NUMBER 6F FOWLA Iv'U IBER DF PENS/COOPS ,PERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER WOOD SIZE OF YARD/PEN AREA YARD 0.25, PEN 6FT*8FT
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS 1 WATER TROUGHS 1
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN METAL BIN
TYPE OF FACILITY USED FOR MANURE STORAGE COM POST B IN
METHOD OF DISPOSAL OF MANURE COMPOSTING HOW OFTEN BI-WEEKLY DURING CLEANING
•
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?GALVANIZED WIRE MESH
X 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 x No
SIGNATURE DATE 12/5/19
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: X POULTRY: 1-9 chickens $30.00
10 or more Chickens 40.00
ROOSTER (NOTE:SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
X NO ROOSTER
TOTAL DUE:$30.00
11/07/18