HomeMy WebLinkAbout2022 The Commonwealth of Massachusetts Fee
Town of Yarmouth $60.00
Stables License
Number: BOHS-15-1248-07 Issue Date: 1/1/2022
Mailing Address: Location Address:
BRENDA FELLOWS 307 NORTH MAIN ST
307 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 up to a total of 7 horses 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
Bruce G. Mu y, H, R.S., CHO
Healt irector
iiii TOWN OF YARMOUTH -EBolfbvm
`, Health
_ 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664 TH DEPT
MATTACHEEEE _ -..
*'Wm Telephone(508) 398-2231, ext. 1241
Fax(508) 760-3472
FEB 0 9 2022
APPLICATION FOR OPERATION- acThr
STABLE i HEALTH D r
PLEASE COMPLETE ALL QUESTIONS
NAME �� j�� C,, HOMET�EL.NO. ` Q�1`))�
�
STABLE ADDRESS � ' ' '1 c*h c \v\ \ W . j(�(1C;.y�� p�(n�,t.-\
MAILING ADDRESS(IF DIFFERENT) \A �
EMERGENCY CONTACT(NAME/PHONE#) � 0 Ct., `\`L`�1�j 'O Tfl I(i\i,S Y-
VETERINARIAN(NAME/PHONE#)c; c\c•C,,C e`cC — 5'Y -4 0 B \ \��
TOTAL NUMBER OF HORSES/PONIES (p TOTAL NUMBER OF STALLS szi
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANIMALS
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
PLEASE LIST EACH HORSE/PONY/DONKEY/COW SEPARATELY:
ANIMAL NAME(IF APPLICABLE) _IL, ILA ` `m AA.. SAL
Ac•UIRED •••Z~. „ • •s. .� n* ir' !�'"
COLOR CMCdti'i a M
SEX CcsirWc. GFY`s.V \i`C c • c- ram\
DATE OF RABIES VACCINATION 4j:a\ -a\ ;
DATE OF EEE VACCINATION 5. \ . \ c
DATE OF OTHER VACCINATIONS — `�•�\ 5: \ -a\
TYPE OF STABLE/SHELTER ( St �� LOD06 SIZE OF CORRAL AREA
(WOOD,CON 'ETE,ETC.)
NUMBER OF HOSE BIB WATER OUTLETS 4\0 DRAINS WATER TROUGHS l0
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN ��, �Se&cso �\4 WY*
TYPE OF FACILITY USED FOR MANURE STORAGE c
METHOD OF MANURE DISPOSAL.\),\ C tC n FREQUENCY \X Et_
CORRAL/PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? \I;r306.
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES NO_ _
(PLEASE NOTE: POULTRY,SWINE, SHEEP, CATTLE, GOATS REQUIRE SEPARATE LICENSURE.)
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 No
SIGNATU E j DATE \
FEES: S & 1 H I E $30.00(+$5.00 each additional horse/animal) TOTAL DUE:S
12/30/19