HomeMy WebLinkAbout2022 / 2023 The Commonwealth of Massachusetts Fee
Town of Yarmouth $45.00
Stables License
Number: BOHS-15-7026-08 Issue Date: 1/1/2023
Mailing Address: Location Address:
STAR ACRES 172A NORTH MAIN ST
172A NORTH MAIN STREET 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 5 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. Murphy, PH, . ., CHO/James G. Gardiner
Health Direct /Assistant Health Director
The Commonwealth of Massachusetts
Town of Yarmouth $45.00
Stables License Fee
Number: BOHS-15-7026-07 Issue Date: 1/1/2022
Mailing Address: Location Address:
STAR ACRES 172A NORTH MAIN ST
172A 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 5 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. Murp y,MPH .S., O/James G.Gardiner
Health Director/As taut Health Director
-ii
i°l. °F,..-- TOWN OF YARMOUTH
Board of
t
it
Health
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 -
MATTACHEESE Health
MO Telephone(508)398-2231, ext. 1241
Fax(508) 760-3472 Division
APPLICATION FOR OPERATION - 2022 .., 0.0y3
STABLE
PLEASE COMPLETE ALL QUESTIONS E-MAIL .St el r'a ftS!7aemsrl,m71
NAME S{ Y- d }i CO<05 HOME TEL.NO. JB 3983 S
STABLE ADDRESS i 7 a A Al, h14 )AI S7r _`_:143 L)V11 hri D Dk( f
MAILING ADDRESS(IF DIFFERENT)
EMERGENCY CONTACT(NAME/PHONE#1 M'N0/4 STA1ACC S 0 $ 2-7Li /I 1 D
VETERINARIAN(NAME/PHONE#)
TOTAL NUMBER OF HORSES/PONIES TOTAL NUMBER OF STALLS -
C` U /li
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANIMALS
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. NOV 2 8 2022
PLEASE LIST EACH HORSE/PONY/DONKEY/COW SEPARATELY: HEALTH DEPT.
ANIMAL NAME(IF APPLICABLE) Scz,e1 'F i-p NA )44 Ca IN GE(Z
BREED G,`iP5•J +-P)-LA flA row Ap1.4•A
YEAR ACQUIRED a oaa a t f 9 awl) al/0 g
COLOR {TALI _ $t.Iack TA + Wa-1 GA b w rJ
SEX j•1„i°k_ Q Ei,49 0
DATE OF RABIES VACCINATION 7/r , __ `�v
DATE OF EEE VACCINATION 7 . -_
DATE OF OTHER VACCINATIONS 7 Jra > ---, --
TYPE OF STABLE/SHELTER W pan -, CO J SIZE OF CORRAL AREA So k ICU
(WOOD,CONCRETE,ETC.)
NUMBER OF HOSE BIB WATER OUTLETS a DRAINS c- WATER TROUGHS 3
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN AZ TAr‘ (,Aar
TYPE OF FACILITY USED FOR MANURE STORAGE T1)lP --litlia,
METHOD OF MANURE DISPOSAL O&)Fw{0 'a v CA( FREQUENCY <:)" D A'1 5
CORRAL/PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? ta-- C `7-APE.
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES NO )1
(PLEASE NOTE: POULTRY, SWINE,SHEEP, CATTLE, GOATS REQUIRE SEPARATE LICENSURE.)
X 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 IZ47, (54r DATE 11 . it-aa
FEES: STABLE& 1 HORSE $30.00(+$5.00 each additional horse/animal) TOTAL DUE:$ Li 5,id
12/30/19