HomeMy WebLinkAboutApplication a / 60 e--ts-42ZLI-06—
iric i Y TOWN O F YARMOUTH Board of
."7.;4017_' 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02 Health
Telephone(508)398-2231,ext. 1241
Health
'' Fax(508)760-3472 FEB 0 3 2020 Div isinn
' -IabEPT i.., '`""
APPLICATION FOR OPERATION—2020 •
POULTRY * r"41' v'.,'
PLEASE COMPLETE ALL QUESTIONS
�/ E-MAIL c 'y at,e4-4),6 ,1,
NAME Refye &..Ae�
LOCATION ADDRESS i � HOME TEL.NO. 147i,-7 ' .3 " 6)--71('1'� j 6un
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL I D NUMBER OF PENS/COOPS NUMBER OF ROOSTERS 'l J
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSIQN OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER W()M Cii Ctiff,Afft 6149 4x,1 3(DSIZE OF YARD/PEN AREA k
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS 2` WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN • v 1 OA \
TYPE OF FACILITY USED FOR MANURE STORAGE 'p 0-t
CilaraM
METHOD OF DISPOSAL OF MANURE
J HOW OFTEN tetk Lt.T.D
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? 4' LvirA‹, Cb-)14,( 64tle/1361V
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 s and liens must be paid,prior to renewal or issuance of your permits.
Please check aper pri ly if paid: Yes V No
SIGNATURE DATE 1 l )7.13R)
THE FULL POULT Y COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: ✓POULTRY: 1:9 chickens 0:00
or more Chickens
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE:$ 10,000
12/30/19