HomeMy WebLinkAbout2023 The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Poultry License
Number: BOHP-17-3084-06 Issue Date: 1/1/2023
Mailing Address: Location Address:
LINDA GATCHELL 8 SMITH RD
8 SMITH ROAD SOUTH YARMOUTH. MA 02664
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 up to 9 chickens at above address.
Board Hillard Boskey, M.D., Chairman
Mary Craig, Vice Chairman
Of Charles T. Holway, Clerk
Debra Bruinooge
Health Eric Weston
Bruce G. Murphy, M ,R.S., CHO/James G. Gardiner
Health Director/Assistant Health Director
�'s ° Y9 TOWN OF YARMOUTH
Board of
a • c Health
-A - _' 1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 -
YATfACMEESE Health
_._.,2
�,� Telephone(508)398-2231,ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION - 2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS �^ / j �� �,�
E-MAIL / dQ/E- Re..-�/
NAME i / I d 6 ` c- r `.c t \ HOME TEL.NO.Tme) 6 3-_r� 1 1
LOCATION ADDRESS � S/'rl t, eq' ,...5-7 *L r' J D 2(p 6
MAILING ADDRESS(IF DIFFERENT) 3.4-Oil-`C_
NUMBER OF FOWL 7 NUMBER OF PENS/COOPS NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTHDEPARTMENT.1
DEPARTMEN T.
TYPE OF SHELTER 1 r l`e±a- ( SA,- SIZE OF YARD/PEN AREA D �C I 0
�}
•
(WOOD,CONCRE ,ETC.)
NUMBER OF WATER OUTLETS 1 WATER TROUGHS C,
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN fr\`� - `e -( C G- k.A.. 5
TYPE OF FACILITY USED FOR MANURE STORAGE ! (r a J l /') �p /�
METHOD OF DISPOSAL OF MANURE � �- VIA p
HOW OFTEN 1 Per � F -
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? $ L IA 0. P'e G/1, (�-('e h v-i L .
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: A es — N
SIGNATURE ;d1 )W DATE . ' / 7 t
THE FULLL OULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: r POULTRY: 1-9 chickens $$30.00
10 or more Chickens $40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 30. 00
12/30/19 h E6 e i ZO23
HEALTH DEPT.