HomeMy WebLinkAboutApp & License The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License 41.4
Number: BOHP-17-3943-05 Issue Date: 1/1/2022
Mailing Address: Location Address:
ANASTASIA ROSA 45 REID AVE
45 REID AVENUE WEST YARMOUTH, MA 02673
WEST YARMOUTH, MA 02673
IS HEREBY GRANTED A 2022 LICENSE
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires December 31, 2022 unless sooner suspended or revoked and is not
transferable.
Conditions
Allowed to have a total of up to 4 chickens at above address. No roosters.
PLEASE POST LICENSE ON PREMISES.
Board Hillard Boskey,M.D.,Chairman
Mary Craig, Vice Chairman
of Charles T.Holway, Clerk
Debra Bruinooge
Health Eric Weston
111
•
Bruce G. / urphy,MPH,R.S., CHO
Health Director
° TOWN OF YARMOUTH
4/11•14, Board of
'a
Health
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
WTTACXEESE
HealthTelephone(508)398-2231,ext. 1241
Fax(508)760-3472 Division --�
DEC 17 202;
APPLICATION FOR OPERATION - 2022
POULTRY HEALTH DEPT
PLEASE COMPLETE ALL QUESTIONS
E-MAIL aryabina@yahoo.com
NAME Anastasia Rosa HOME TEL.NO.508-815-6199
LOCATION ADDRESS 45 Reid Ave West Yarmouth MA 02673
MAILING ADDRESS(IF DIFFERENT)
---
NUMBER OF FOWL 4 NUMBER OF PENS/COOPS 1 NUMBER OF ROOSTERS 0
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER wood SIZE OF YARD/PEN AREA Yard 0.25 a, pen 6x8
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS 1 WATER TROUGHS 1
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN metal bin
TYPE OF FACILITY USED FOR MANURE STORAGE compost bin
METHOD OF DISPOSAL OF MANURE composting HOW OFTEN weekly
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?galvanized wire cloth
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 -----P DATE /0/1/474b-,/
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: / POULTRY: 1-9 chickens 3
10 or more Chickens .00
ROOSTER (NOTE:SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE:$
12/30/19