HomeMy WebLinkAbout2022 App & License The Commonwealth of Massachusetts Fee
Town of Yarmouth $40.00
Poultry License
Number: BOHP-15-1204-07 Issue Date: 1/1/2022
Mailing Address: Location Address:
RENEE BRYDEN 341 NORTH MAIN ST
341 NORTH MAIN STREET 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 a total of up to 10 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
Bruce G. Murphy, MPH, R.',.. 'O/James G. Gardiner
Health Director/Ass..tant Health Director
41k-...YTOWN OF YARMOUTH Board ofHealth
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1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24 -
YATTACNEESE
Telephone(508)398-2231, ext. 1241 Rt.rEE
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Division
''"... Fax(508)760-3472
jUN 2 2 2022
APPLICATION FOR OPERATION-2022 HEALTH DEPT.
POULTRY
PLEASE COMPLETE ALL QUESTIONS ��
E-MAIL
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LOCATION ADDRESS 3(../J
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MAILING ADDRESS(IF DIFFERENT) ' \
NUtvIBER OF FOWL 4 N MBER-OF PENS/COOPS ,fi
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PLEASE NOTE: PLEASE DO NOT INCREASE THE
NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OFT HEALTH DEPARTMENT.
TYPE OF SHELTER K 0 0i7 ( :1 Card"y�i n�f' SIZE OF YARD/PEN AREA .Z0 fi S 01
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETSi___ WATER TROUGHS L.
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN SlitjilK5 LAty, got01/04-20/1
TYPE OF FACILITY USED FOR MANURE STORAGE (S
METHOD OF DISPOSAL OF MANURE C HOW OFTEN CO *t —
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? ykautiod
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1\_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 pai 13
nor to renewal or issuance of your permits.
Please check appropriately if paid: Yes x No
J
SIGNATURE DATE I i �j7THE FULL OULT Y COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: OULTRY ickens
10 or more Chickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
�NO ROOSTER
TOTAL DUE: $
12/30/19