HomeMy WebLinkAboutUntitled The Commonwealth of Massachusetts Fee
Town of Yarmouth $30.00
Sheep Goats License
Number: BOHSG-19-0149-04 Issue Date: 1/1/2023
Mailing Address: Location Address:
SALLY HELMAN 20 NICK-EM WY
P.O. BOX 875 YARMOUTH. MA 02675
HARWICH, MA 02645
IS HEREBY GRANTED A 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 a total of three (3) goats at above address.
PLEASE POST LICENSE ON PREMISES.
Board Hillard Boskey, M.D., Chairman
Mary Craig, Vice Chairman
of Charles T. Holway, Clerk
Eric Weston
Health
Ja s G. Gardiner
Health Director
° ,9
F TOWN OF YARMOUTH Board of
/;''S ;
. ,A �g' Health
�' x
--Ai- 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health
MATTACHEESE
Telephone(508)398-2231, ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION - 2023
SHEEP/GOATS FEE: 1-8 animals $30.00
9 or more animals $35.00
L---r‘newal
PLEASE COMPLETE ALL QUESTIONS New� Application ,�
y , E-MAIL LLSSI"fV 'E- f'"
NAME A� NYux.rN HOMETEL.NO. ' 7s—/("-1 2.
ADDRESS aq, l.,yls-k- ---r\e_.1 U-52-,54-eQ./1 C-45
MAILING ADDRESS(IF DIFFERENT) l 0 a x ?-7 5
EMERGENCY CONTACT(NAME/PHONE#) •
VETERINARIAN(NAME/PHONE#) ` 1 e_ y (��, r-i a-- C-esa. c V
TOTAL NUMBER OF ANIMALS 6 e �'
1-J
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANI1 ALS -
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT nt/.,�- v 0 a-e
PLEASE LIST EACH SWINE/SHEEP/GOAT SEPARATELY: Ch QC�- '�,/�p ��
ANIMAL NAME(IF APPLICABLE) �—� C�,lo•)�y �3 c 1 ` as `'.
BREED
OWNED to .c A. Dais- .ac�t� \\( DcA�r -I-
a wh t 4 `
COLOR
whi brown low ,��t ►r las..�brow
SEX
DATE OF RABIES VACCINATION �/ /' i
1DATE OF EEE VACCINATIONc -
ICJ
DATE OF OTHER VACCINATIONS d
TYPE OF STABLE/SHELTER p c lx- SIZE OF CORRAL AREA On \
(WOOD,CONCRETE,ETC.)
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN
TYPE OF FACILITY USED FOR MANURE STORAGE ,A, 41lMillrrAIIEL,
METHOD OF DISPOSAL OF MANURE HOW OFTE *, Al'-
�
wr
IS CORRAL/PEN AREA ENCLOSED BY FENCING? YES NO TYPE OF FENCING `�ti
• -
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES NO V <\A�
(PLEASE NOTE: POULTRY, HORSES, PONIES, DONKIES REQUIRE SEPARATE LICENSURE.)
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 for to renewal or issuance of your permits.
Please check appropriately if paid: Yes paiNo
SIGNATU Afri a DATE 3-/0-
3 1?/jN19