Loading...
HomeMy WebLinkAbout2021 The Commonwealth of Massachusetts Fee Town of Yarmouth $40.00 Poultry License Number: BOHP-17-0431-04 Issue Date: 1/1/2021 Mailing Address: Location Address: ELENA CENSALE 30 GREYHAMPTON RD 30 GREYHAMPTON ROAD WEST YARMOUTH, MA 02673 WEST YARMOUTH, MA 02673 IS HEREBY GRANTED A 2021 LICENSE This license is granted in conformity with the statutes and ordinances relating thereto, and expires December 31, 2021 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 MKA Bruce G. Mu • y, %PH,R.S.,CHO Health Director `,.. .•r t TOWN OF YARMOUTH Board of Health Alltii‘ Itflit%7 ''11 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health Telephone(508)398-2231, ext. 1241 :;: :'` ''' Fax(508)760-3472 Division APPLICATION FOR OPERATION -2021 = POULTRY i 2 LOLj PLEASE COMPLETE ALL QUESTIONS E-MAIL /1/ ,- HEALTH DEP NAME E Lam CEV51La- TO N 6'e//Fj4/ HOME TEL.NO.SOg39'//Z76 LOCATION ADDRESS 30 G2e11/1101C0 TON R 3 W, Y ,/11Q(f-`/ "3 MAILING ADDRESS(IF DIFFERENT) l NUMBER OF FOWL ..q 0 NUMBER OF PENS/COOPS NUMBER OF ROOSTERS O PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT. / rTYPE OF SHELTER LJ2&Z.) SIZE OF YARD/PEN AREA � (WOOD,CONCRETE,ETC.) NUMBER OF WATER OUTLETS WATER TROUGHS (_. TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 6 (...- cyl-/(f S TYPE OF FACILITY USED FOR MANURE STORAGE 5/-/f J(/in 6 S /72/X C/,) w 6 f73 /4 f}A/U 2 r" METHOD OF DISPOSAL OF MANURE I/14 CI LC Ft O/) p/a h f 5 HOW OFTEN /� s7--�` � PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? i4 LC fl /f C/IV v w/02 E' VRENEWAL 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 pri r to renewal or issuance of your permits. Please check appropriately if paid: Yes i/No SIGNATURE e�PiytQ- C ?al DATE 7/3/cZ/ THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL. ,fi oe FEES: Tu POULTRY: 1-9 chickens 30:0 10 or more Chickens D ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) O NO ROOSTER TOTAL DUE: $ 12/30/19 ?' IT 04,3l 21 . coC7