HomeMy WebLinkAbout2021 The Commonwealth of Massachusetts Fee
Town of Yarmouth $40.00
Poultry License
Number: BOHP-15-1220-06 Issue Date: 1/1/2021
Mailing Address: Location Address:
THOMAS ORTON 26 KENCOMSETT CIR
26 KENCOMSETT CIRCLE YARMOUTH, MA 02675
YARMOUTHPORT, MA 02675
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 up to a total of 25 chickens, 1 rooster 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, MP ,R.S., CHO
Health Director
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TOWN OF YARMOUTHBoard of
Health
- �i 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 -
Telephone(508)398-2231,ext. 1241 r - .-...-
Health
Fax(508)760-3472 l7wisron
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APPLICATION FOR OPERATION -2021
POULTRY HEALTH DEPT.
PLEASE COMPLETE ALL QUESTIONS
E-MAIL iS.N eJ - �CJt.A30 ,L e..
NAME 1 A;, ' • CO-7-z-g-`\ HOME TEL.NOS irf)Gv
LOCATION ADDRESS 2iU 1r. ,&L,,.,a% ,,
I
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL (t NUMBER OF PENS/COOPS i
NUMBER OF ROOSTERS 7
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER (1)ab i.K SIZE OF YARD/PEN AREA \ r- -3 v
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS 1 WATER TROUGHS -;
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN I\t\Q
TYPE OF FACILITY USED FOR MANURE STORAGE -\
METHOD OF DISPOSAL OF MANURE Ca^ (7 HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? G 11-ALv -,\ (yam t
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 paitc1prior to renewal or issuance of your permits.
Please check appropriately if paid: Yes No
SIGNATURE L DATE C 2, r 7il
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: /a POULTRY: 1-9 chickens $$30.00
10 or more Chickens $40.00
/ ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 140 `
12/30/19
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