HomeMy WebLinkAbout2021 App & License The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License
Number: BOHP-17-3084-04 Issue Date: 1/1/2021
Mailing Address: Location Address:
LINDA GATCHELL 8 SMITH RD
8 SMITH ROAD SOUTH YARMOUTH. MA 02664
SOUTH YARMOUTH, MA 02664
IS HEREBY GRANTED A 2021 LICENSE
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires December 31, 2021 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. MP , R.S., CHO
Health Director
TOWN OF YARMOUTH Board of
if Piiirt: Health
ii 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
Telephone(508)398-2231,ext. 1241 Division
Fax(508)760-3472
APPLICATION FOR OPERATION -2021
POULTRY
PLEASE COMPLETE ALL QUESTIONS
'' AA i 1 E-MAIL 1, nd-a. '41c 1t /e C e�c hzbcpen
NAME lInda C & te_V\ \ \ —4.33` i
c -/ �.,p HOME TEL.NO. D �p
LOCATION ADDRESS g v h1 1 -'-`Z 4c( ' �t /-,12 (, c% b
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL-_ £ 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 /YR, he e 0 SIZE OF YARD/PEN AREA ^3j 0
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS ) WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN V'--(i-at- k Cc v.TYPE OF FACILITY USED FOR MANURE STORAGE Al ( 62iL Ca..(^
1
METHOD OF DISPOSAL OF MANURE (Y (- 6 S°ice ) ll)V HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? sn'll LR ,5 �/ A-Gi r� `� �� C L T' `1 J`e t\ LiJ s irs e
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
i
SIGNATURE , 'Ue DATE r ^ I J
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL./
FEES: v POULTRY: 0.00
1 or more Chickens $3 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
�O G�s:
TOTAL DUE:$30c
PLUG 2 4 Z021
12/30/19
HEALTH DEPT.
I