HomeMy WebLinkAboutApplication 020-001( p-/ - -D,f31-63
TOWN OF ARMOUT I _ _ 13oardef
Health
"-.01146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-2445n r.
Telephone(508)398-2231,ext. 1241 `� '
Fax(508)760-3472 Division
rf s
APPLICATION FOR OPERATION-2020 ,,, 14a3
tiflf*
POULTRY
PLEASE COMPLETE ALL QUESTIONS
CP",-/ T ill S � E-MAIL si/s/x/ (p 7; 4/67--
NAME
UETNAME 6Z.6.414 st `.I a#,i' /e/,;G'/Jr/ HOME TEL.NO.Seg 3S 02 7C 9
LOCATION ADDRESS 30 /2 i/ arm/ GU. \I: u,v / O , - 73
MAILING ADDRESS(IF DIFFERENT) 7V / /7
NUMBER OF FOWL 36 NUMBER OF PENS/COOPS c>1 NUMBER OF ROOSTERS CD
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
tjo v E
TYPE OF SHELTER 1(1 a o 0,4,46-Th t R.0 3BF,SIZE OF YARD/PE AREA ,(28 O
(WOODXO CRETE,ETC.) RpoF dYER /`ttEf} /
NUMBER OF WATER OUTLETS WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN e j C// ST. .•-iv) E? L. j/2/y S ff
TYPE OF FACILITY USED FOR MANURE STORAGE a 4 ILO C/(/ �/�J�///��i S �0� f� 0 p/ y�
t A/ Ti ),eJ,
�jJ
METHOD OF DISPOSAL OF MANURE Cf)2ty � (Jdz t/1 HOW OFTEN 17//y/
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? /J X 3j fr h Q v (/ v(l!lc `Pl .
"/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 �, 0. 4 -L 4 it-,40---L DATE f/ "7 /a()
THE FULL POULTRYUL' � COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: ✓POULTRYeC
0 or more Chickens 40.
819T-
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
✓ NO ROOSTER
TOTAL DUE: $ I/O,OQ
12/30/19