HomeMy WebLinkAbout2022 App & License The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License
Number: BOHP-17-3084-05 Issue Date: 1/1/2022
Mailing Address: Location Address:
LINDA GATCHELL 8 SMITH RD
8 SMITH ROAD SOUTH YARMOUTH. MA 02664
SOUTH YARMOUTH, MA 02664
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 9 chickens at above address.
Board Hillard Boskey, M.D., Chairman
Mary Craig, Vice Chairman
of Charles T. Holway, Clerk
Debra Bruinooge
Health Eric Weston
Bruce G. Murphy, PH. R. . C O/James G. Gardiner
Health Director/Assistant Health Director
,.. -,
. g.°F TOWN OF YARMOUTH Board of
? , Health
i _
__t 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
YATTACNEESE Health
Telephone(508)398-2231, ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION -2022
POULTRY MAY 2 5 2022
PLEASE COMPLETE ALL QUESTIONS
/ HEALTH DEPT.
IL
NAME LI ,Id4 6 e G 4`e L i HOE- ME TEL.NO.
LOCATION ADDRESS P5 Srn / ! " ` #c J s, /4,--inoct-347
MAILING ADDRESS
(IF DI�FFERENT) �-Z� '�
C
NUMBER OF FOWL / NUMBER OF PENS/COOPS / NUMBER OF ROOSTERS CD
PLEASE NOTE: PLEASE DO NOT-INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
{��TYPE OF SHELTER 1-d C-Q 54 p
SIZE OF YARD/PEN AREA O x/0 iplU�
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS I WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN /2 /-�L -7 t.S{] C IAJS
TYPE OF FACILITY USED FOR MANURE STORAGE n140 i eeJ 112 a.Sh (4@ Vt. $
METHOD OF DISPOSAL OF MANURE 4 C( Alf HOW OFTEN / OK
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? Sfa 6'Maite C/I ,`,4'vl Wit f c
V.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 V No
SIGNATURE 1124,404 4.Mekze.....ev DATE 5— - 4 - �-
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: (/POULTRY: 1-9 chickens $30.00
10 or more Chickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 30< 0-c)
12/30/19