HomeMy WebLinkAbout 2022 License & App The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License 41
Number: BOHP-15-1221-07 Issue Date: 1/1/2022
Mailing Address: Location Address:
DOUGLAS & 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 25 chickens 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
race G. Murp MPH, .S.. C /James G.Gardiner
Health Director/Assistant Health Director
..��9 ,, TOWN OF YARMOUTH
''.� Board of
r , ..,,` " i\ Health
—4a-B = 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health
YATTACMEEE
Telephone(508)398-2231, ext. 1241
Fax(508)760-3472 niv;cion_
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APPLICATION FOR OPERATION-2022 MAY -.1 b ZW2
POULTRY
HEALTH DEPT.
PLEASE COMPLETE ALL QUESTIONS n `, , _ �(�
--� E-MAIL 1 pr Y7g O? ► fn di 1 wey,
NAME 7-axe) 3 Let 0,v., ke with, HOME TEL.NO.501•3t,2-we coA
LOCATION ADDRESS is Pio ph,(.e tom . E fna...t,„ fp/i--
MAILING ADDRESS(IF DIFFERENT) ---
NLMBER OF FOWL I-I NUMBER OF PENS/COOPS cg,_. NUMBER OF ROOSTERS 0
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER lA 000//(�J P{ SIZE OF YARD/PEN AREA 7 (� X 0(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS 1 WATER TROUGHS I - Z
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN LA.c,c,cA �, / 1-; (tf c q it, S
TYPE OF FACILITY USED FOR MANURE STORAGE_ C-0"J'^,P,sS4*P
METHOD OF DI SAL OF MANURE (IU JVi icorRoc\-c._ HOW OFTEN (Q � Ott/PEN ARE NCLOSED BY WHAT TYPE OF FENCING? 9 r 4 l."—coo 0
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 0_ DATE S// 3/ 2 U 2-?
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: POULTRY: 1-9 chickens ',30.$1
10 or more Chickens 1.11
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 36
12/30/19