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TOWN OF YARMOUTH B
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Healtoardhof
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 0266-24451
Telephone(508)398-2231,ext. 1241 JAN` 1 �Hqeaqlth
Fax(508)760-3472 U�i�9n
APPLICATION FOR OPERATION-2020 C'ae •
POULTRY ,e,;,120, ..
PLEASE COMPLETE ALL QUESTIONS v"
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E-MAIL N-i) 9 TO p b bottombottom1r odder.
NAME `us „SL nn, HOME TEL.NO.S.Or 3(2Z' ( ( CO h
LOCATION ADDRESS I U C ttitNAz. E,q . La+'�.�C� pvf j i Oto`ZS
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL - NUMBER OF PENS/COOPS (11V V C-12Ic
' TMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER LIG / U��te. SIZE OF YARD/PEN AREA o)10 x p Q
` (WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS WATER TROUGHS I
TYPE OF STORAGE FACILITY USED FOR FEED/GRAINQ"I , 4 fnJl `.CvV f/(,4-4.)-Qd C' C`
TYPE OF FACILITY USED FOR MANURE STORAGE _C,-f b S
METHOD OF DISPOSAL OF MANURE CP Xt -2 ®VN`e HOW OFTEN /1 OA—)
PEN AREA ENCLOSED BY
WHAT TYPE OF FENCING? (AA, Ut-AS
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 DATE / /1"
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THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: POULTRY: 0.00
or more Chickens
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
O ROOSTER
TOTAL DUE:$ LFQ-00
12/30/19