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HomeMy WebLinkAbout2023 The Commonwealth of Massachusetts Fee Town of Yarmouth $40.00 Poultry License Number: BOHP-17-0431-06 Issue Date: 1/1/2023 Mailing Address: Location Address: ELENA CENSALE 30 GREYHAMPTON RD 30 GREYHAMPTON ROAD WEST YARMOUTH. MA 02673 WEST YARMOUTH. MA 02673 IS HEREBY GRANTED A 2023 LICENSE This license is granted in conformity with the statutes and ordinances relating thereto, and expires December 31, 2023 unless sooner suspended or revoked and is not transferable. Conditions Allowed to have a total of up to thirty(30) chickens at above address. No roosters allowed. 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., C O/James G. Gardiner Health Director Assistant Health Director �,. °� Y TOWN OF YARMOUTH Board of 6. • g` Health • ;.4 1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health YATTACHEESE Telephone(508)398-2231, ext. 1241 Fax(508)760-3472 Division APPLICATION FOR OPERATION-2023 POULTRY PLEASE COMPLETE ALL QUESTIONS E-MAIL 4 it9"5U�1M/( ea',/I/t/E7 NAME tza- ea/seize- �/0/4/ Ga/ F/r1IOME TEL.NO. 1/4_ 0 3/J 27 4/ LOCATION ADDRESS © G e , v IIJr VM/'/t In/ • MAILING ADDRESS(IF DIFFERENT) Al/4- NUMBER OF FOWL JO 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©0 SIZE OF YARD/PEN AREA (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS WATER TROUGHS TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN i ,. TYPE OF FACILITY USED FOR MANURE STORAGE re2T u zo-/e_O 'OAJ e?Oitl 6' iZDD4 7' S METHOD OF DISPOSAL OF MANURE L HOW OFTEN 4 4/EEO 1C' PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? 5/eireC gU.4`Gt ;,t1 i /' C /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 appropnately]ttpaid-: Yes No SIGNATURE g-,wvL G-- <(C, DATE Al 19 / THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL. FEES: POULTRY: 1-9 chickens I 10 or more Chickens 4.40.01 ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) t//NO ROOSTER v20K D TOTAL DUE:$ FEB14" / 60 13 2U23 12/30/19 HEALTH DEFT