HomeMy WebLinkAboutApplication 120-oi Va0 w'-.IS iaii-oc
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TOWN OF YARMOUTH Board of
Health
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%0 , 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 0266' A A
Telephone(508)398-2231,ext. 1241 nLg
., Fax(508) 760-3472 ivicion
FEB 2 4 2020
APPLICATION FOR OPERA r 0 ` b �� . = HEALTH DEPT.
POULTRY ¢1
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PLEASE COMPLETE ALL QUESTIONS
E-MAIL'wvva .)�1`3oa.,
NAME 2.---c'
ex--2-� HOME TEL.NO. .:-..7.: '7<-Z 7')
LOCATION ADDRESS -c" � c ,.vim - C I at-c L Lk r -42:—
MAILING ADDRESS(IF DIFFERENT) C�
NUMBER OF FOWL NUMBER OF PENS/COOPS 2 NUMBER OF ROOSTERS /
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER L D -Q SIZE OF YARD/PEN AREA .:2-05 -
- "
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS ' WATER TROUGHS
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TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN NA -Ae- \
TYPE OF FACILITY USED FOR MANURE STORAGE (e—z p t,..>—\--
METHOD
�*-METHOD OF DISPOSAL OF MANURE w - �, - HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? C k,cL--, (._,i 1
NEWAL
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 `—) S, DATE 2 �3/2
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: ✓POULTRY: -9 c..•-
10 or more Chic -, .40.00
'"ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ ce6 CO
12/30/19