HomeMy WebLinkAboutApplication aO-Oca-� eo p.-1-7,400
TOWN OF YARMOUTH BHeao7rdoflth
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 0 66.4-24451
Telephone(508)398-2231,ext. 1241
Fax(508)760-3472
FEB 1 0 2020
APPLICATION FOR OPERATION-2020
POULTRY r LI, D T
PLEASE COMPLETE ALL QUESTIONS , `� L
-ew � ,,ta I
E-MAIL 'K\SS wt-"r 1TeCaS4,
NAME t V6(, (rA t HOME TEL.NO. ,5&
LOCATION ADDRES`� wts+ _I
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL q NUMBER OF PENS/COOPS
NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER W C SIZE OF YARD/PEN AREA (-,,n -C k
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN Sot e` US'
TYPE OF FACILITY USED FOR MANURE STORAGE C.1514k, P 5 }- 1=3 c A-,
METHOD OF DISPOSAL OF MANURE HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? U3 L 1� —
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 _ _laA /A. DATE
0
THE FULL POULTRY COUN NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: t/ POULTRY I-. hickens 30 I t
or more 1.11
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 30-00
12/30/19