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HomeMy WebLinkAbout2022 - No longer raising chickens °,..° TOWN OF YARMOUTH Board of s g Health '�+ Z MATTACMEE Dili 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health SE Telephone(508)398-2231, ext. 1241 Fax(508)760-3472 Division APPLICATION FOR OPERATION -2022 POULTRY PLEASE COMPLETE ALL QUESTIONS / J E-MAIL 6,a, Coot/D &Cri4tf 1/.(C NAME At VggUt6 HOME TEL.NO. (SIB) o9 -0—oZ3 2- 7�' LOCATION ADDRESS & COO Z./D6- ie_b (,Q,4, $km 0 cl I — j m/) O'a j7' 3 MAILING ADDRESS(IF DIFFERENT) NUMBER OF FOWL Q NUMBER OF PENS/COOPS ° NUMBER OF ROOSTERS D PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWLAC pi o WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. //�� //CKer1S ©lam TYPE OF SHELTER SIZE OF YARD/PEN AREA row 1-- (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS 0 WATER TROUGHS 0 TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 0 Ai A TYPE OF FACILITY USED FOR MANURE STORAGE 0 METHOD OF DISPOSAL OF MANURE 0 HOW OFTEN 0 PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? 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 -\Kk.()___ 5-------- ."--- DATE 10125-' a THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL. FEES: 0 POULTRY: 1-9 chickens $30.00 10 or more Chickens $40.00 - 0 ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) G i OrIM Q NO ROOSTER OCT 2 8 2022 TOTAL DUE: $ 0, 00 HEALTH DEPT, 12/30/19