HomeMy WebLinkAbout2023 The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License
Number: BOHP-20-0470-03 Issue Date: 1/1/2023
Mailing Address: Location Address:
CHARLES WHITE MANAGEMENT INC 345 CAMP ST
345 CAMP ST WEST YARMOUTH, MA 02673
SOUTH YARMOUTH, MA 02664
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 12 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, MP , R.S., O/James G. Gardiner
Health Director/Assistant Health Director
°F Y TOWN OF YARMOUTH Board of
VHealth
+ = 1 146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health
MATTACHEESE
Telephone(508)398-2231, ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION - 2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS '/
/ E-MAIL �, /'q 4-4ve �7i)CAS7/.lQ�
NAME -CEO/'( i� /�r�O1J� HOME TEL.NO. SOg Se/-L/
LOCATION ADDRESI 3y C)),/y c
y
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL 1r NUMBER OF PENS/COOPS RS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSIONI OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER (NO6 d SIZE OF YARD/PEN AREA 6 6 Sy .7 47.7-
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS / WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 41/7a e"
TYPE OF FACILITY USED FOR MANURE STO GE
METHOD OF DISPOSAL OF MANURE Q/I).b DST HOW OFTEN °/ITit44/17/
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? Ci/''//) 1/j)je-
/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 rior to renewal or issuance of your permits.
Please check appropnatery if paid: - Yes / No
SIGNATURE = � DATE /
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
,
FEES: POULTRY: ickc 30.00
or more ns
,12:OSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
0 ROOSTER
TOTAL DUE:1,-3O RECNOWIMED
12/30/19 :U a 7 2023
HEALTH DEPT.