HomeMy WebLinkAboutApplication ARso --00 576-6 14-S—I 57-(vf?_-0,5"
....y. TOWN OF YARMOUTH BbiA4oia92020
Health
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
Telephone(508)398-2231,ext. 1241 Health
Fax(508)760-3472 Division
APPLICATION FOR OPERATION-2019
STABLE
PLEASE COMPLETE ALL QUESTIONS E-MAILmjw.murphy@comcast.net
NAME Taylor Bray Farm HOME TEL.NO.508-326-5430
STABLE ADDRESS 108 Bray Farm Rd North Yarmouth Port, MA 02675
MAILING ADDRESS(IF DIFFERENT)P.O. Box 66 Yarmouth Port MA 02675
EMERGENCY CONTACT(NAME/PHONE#)Martin J. Murphy(C)508-326-5430
VETERINARIAN(NAME/PHONE#)Manna W. Ceasar DVM 508-362-3646
TOTAL NUMBER OF HORSES/PONIES 3 TOTAL NUMBER OF STALLS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANIMALS
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
PLEASE LIST EACH HORSE/PONY/DONKEY/COW SEPARATELY:
ANIMAL NAME(IF APPLICABLE) Chloe Sam Nestor
BREED Scottish Highland Med Mini Med Mini
YEAR ACQUIRED 2016
COLOR Brown Grey Grey/White
SEX Female AM AM
DATE OF RABIES VACCINATION 06/20/19 06/20/19 06/20/19
DATE OF EEE VACCINATION 06/20/19 06/20/19 06/20/19
DATE OF OTHER VACCINATIONS
TYPE OF STABLE/SHELTER Wood SIZE OF CORRAL AREA 20 ft X 20 ft/Pasture
(WOOD,CONCRETE,ETC.)
NUMBER OF HOSE BIB WATER OUTLETS 1 DRAINS 0 WATER TROUGHS 3
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN Galvanized Barrels
TYPE OF FACILITY USED FOR MANURE STORAGE Compost
Used B Garderners On Going
METHOD OF MANURE DISPOSAL Y FREQUENCY
CORRAL/PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? Wood/Wre
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES X NO
(PLEASE NOTE: POULTRY,SWINE,SHEEP, CATTLE, GOATS REQUIRE SEPARATE LICENSURE.)
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 x•l% /i0'/ DATE �„ U
FEES: STABLE& HORSE ark (+$5.11 eac ,di, • horse/animal) TOTAL DUE:S
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