HomeMy WebLinkAboutApp-License The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Sheep Goats License
Number: BOHSG-15-1244-07 Issue Date: 1/1/2022
Mailing Address: Location Address:
DOUG & LAURA SHERMAN 18 PINNACLE LN
18 PINNACLE LANE YARMOUTH. MA 02675
YARMOUTHPORT, MA 02675
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 up to a total of 3 goats at above address.
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
PLI)<-
Bruce G.Murphy,MPH,R. .,C James G.Gardiner
Health Director/Assistant Health Director
°F.....Y TOWN OF YARMOUTH
''� �9;�= Board of
.A.
g` Health
_2 - _ 1.i7 ROU E 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
IunAC ESE
*4•,,.,r.`' Telephone(508)398-2231,ext. 1241 Health
i;�!"'� ' MQ� '` , ZO 2 Fax(508)760-3472 Division
LHFAA71-I DEPT. PLICATION FOR OPERATION-2022
SHEEP/GOATS FEE: 1-8 animals $30.00
9 or more animals $35.00
clik,enewal
PLEASE COMPLETE ALL QUESTIONS New Application
E-MAIL 1 k)4 +00,, bd-r CG Shr ,
NAME .00, 1 La. v S h9 ,r\ J HOME TEL.NO. S-D�,3 L2-4III
ADDRESS l U ;f,r.�r I 4.-- �c ,,, - Aof 4- 141 Pi.
MAILING ADDRESS(IF DIFFERENT) -EMERGENCY CONTACT(NAME/PHONE#) 7 7 y —f 9'i- 9&3 8
VETERINARIAN(NAME/PHONE#) T a _ rv\ (.pc, _
TOTAL NUMBER OF ANIMALS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANIMALS
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
PLEASE LIST EACH SWINE/SHEEP/GOAT SEPARATELY:
ANIMAL NAME(IF APPLICABLE) Li; I 10 ili L.A•t E L/
BREED N iqi .GV(I/fir, P;! 4A c th c d- C" c J 0 cr I-
#YEARS OWNED f rS
COLOR %iGC U,kr t,1,.K/
SEX A / Iv, -
DATE OF RABIES VACCINATION / ¢ �►/ /
DATE OF EEE VACCINATION T
DATE OF OTHER VACCINATIONS t. X
TYPE OF STABLE/SHELTER 16 Af ' SIZE OF CORRAL AREA ..' /, ) . 7
(WOOD,CONCRETE,ETC.)
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN Inlocc/ / 1-.'/k/ (h-/US
TYPE OF FACILITY USED FOR MANURE STORAGE (a i
e_,, .)-....e
METHOD OF DISPOSAL OF MANURE dufiy ( U)4,0l44HOW OFTEN CO D/1/
IS CORRAL/PEN AREA ENCLOSED BY FENCING? YESJ.40 TYPE OF FENCING LJOCJd (...--)/ e
OTHER FARM ANIMALS MAINTAINED AT PREMISE . NO 2c h `c i-eNc
(PLEASE NOTE: POULTRY,HORSES,PONIES,DONKIES REQUIRE SEPARATE LICENSURE.) d / n I PM'v
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 or to renewal or issuance of your permits.
Please check appropriately if paid: Yes No
SIGNATURE`J�0C �,�c � _DATE - J- 2 2-712/30/19