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# --00'SBoca-P-6,-(232-10 °` ... 20 TOWN OF YARMOUTH �a� ° �`. � Board of I �r = E "f3ealth IN4.;:y 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Telephone(508)398-2231,ext. 1241 Health Fax(508)760-3472 Division APPLICATION FOR OPERATION-2019 POULTRY PLEASE COMPLETE ALL QUESTIONS E-MAIL mjw.murphy a©comcast.net NAME Taylor Bray Farm HOME TEL.NO.508426-5430 LOCATION ADDRESS 108 Bray Farm Rd N.Yarmouth Port, MA 02675 MAILING ADDRESS(IF DIFFERENT)P.O. Box 66 Yarmouth Port MA 02675 NUMBER OF FOWL 28 NUMBER OF PENS/COOPS 1 NUMBER OF ROOSTERS 1 PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. TYPE OF SHELTER Wood/Concrete Floor SIZE OF YARD/PEN AREA 18 ft X 14 ft (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS 1 WATER TROUGHS 2 TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN Wooden Feeder Inside Coop TYPE OF FACILITY USED FOR MANURE STORAGE Compost METHOD OF DISPOSAL OF MANURE Gardeners Use Composted Material HOW OFTEN On Going PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?Wood and Wire 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 No SIGNATURE Z/k _ '�I�al DATE f l2dG T C. THE FULL POULTR COUNT I TO EXCEED OMOUNT OF PRIOR YEAR'S TOTAL. FEES: POULTRY: 10-9or chickenmoreCshickens 33440.00$30.00 1 ROOSTER (NOTE:SPECIAL APPROVAL REQUIRED FOR ROOSTERS) NO ROOSTER TOTAL DUE:$ 11/07/18