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HomeMy WebLinkAboutApplication #o -006/86U-P- 17-410o-d3 . or .r TOWN OF YARMOUTH Board of Health ''Ik 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 026 • Telephone(508)398-2231,ext. 1241 Fax(508)760-3472 Division JAN 2 7 2020 APPLICATION FOR OPERATION-2020 H,.t? P POULTRY PLEASE COMPLETE ALL QUESTIONS E-MAIL S"tgp c.11 .ashless c 9rrw►l.tpnl NAME AS I ‘S1-01k1 G I HOME TEL.NO. 114 - q 94-1-7342. LOCATION ADDRESS T3 W l h l,er S1-. yar m o vtL Port-, MA 02.bl MAILING ADDRESS(IF DIFFERENT) NUMBER OF FOWL 10 NUMBER OF PENS/COOPS / NUMBER OF ROOSTERS 9 PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. TYPE OF SHELTER W OOd SIZE OF YARD/PEN AREA 13 X B-Fir (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS 0 WATER TROUGHS 2» TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 9C1 vi rr!Zed. Gans 1 h s h TYPE OF FACILITY USED FOR MANURE STORAGE METHOD OF DISPOSAL OF MANURE moved -iv b 4 x (4 I2OFTEN Zx/L L., PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? We4d c4► W 1 re. 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 a j z-%'j V/23/2..o DATE THE FULL POULTRY CO T IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL. FEES: 'POULTRY:CW-or]�.chicics 00 CW-or more Chickens ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) NO.ROOSTER TOTAL DUE:$ y©/Od 12/30/19