HomeMy WebLinkAbout2023 App-License The Commonwealth of Massachusetts Fee
(-1°' Town of Yarmouth $40.00
Poultry License
Number: BOHP-21-3786-03 Issue Date: 1/1/2023
Mailing Address: Location Address:
LUCAN COLQUHOUN 12 ALIJO DR
12 ALIJO DR WEST YARMOUTH. MA 02673
WEST YARMOUTH, MA 02673
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.
Board Hillard Boskey, M.D.,Chairman
Mary Craig, Vice Chairman
of Charles T. Holway, Clerk
Eric Weston
Health
mes Gardiner
Health Director
4_:_ TOWN OF YARMOUTH Board of
let
Health
x 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
YATTACMEESE Health
Telephone(508)398-2231,ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION - 2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS
NAME HOME TEL.NO.
LOCA'1'lUN ADDRESSOtz_bfri,..49EA,A
MAILING ADDRESS(IF DIFFE NT)
NUMBER OF FOWL 14'2— NUMBER OF PENS/COOPS NUMBER OF ROOSTERS 0
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER L`✓004 SIZE OF YARD/PEN AREA['1W> —pu.,e7 0.'o14 •.S +�/�S 4,v1/41
(WOOD,CONCRETE,ETC.) I
NUMBER OF WATER OUTLETS iCO WATER TROUGHS 2
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN fr1 -Jet 1 Gent'e/
TYPE OF FACILITY USED FOR MANURE STORAGE S \J s (.4(
METHOD OF DISPOSAL OF MANURE (� o,� 1-�,.,^ HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? ,J (&
' 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 for to renewal or issuance of your permits.
Please check appropriately if paid: Yes V No
SIGNATURE — DATE 3A/4 23
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TO L.
FEES: POULTRY: 10 1-9or chickens $30.00
more Chickens 40.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
V.410 ROOSTER
TOTAL DUE: $
MAR 20 2023
12/30/19
HEALTH DEPT.