HomeMy WebLinkAbout2023 App-License The Commonwealth of Massachusetts Fee
Town of Yarmouth $40.00
Poultry License
Number: BOHP-15-1220-08 Issue Date: 1/1/2023
Mailing Address: Location Address:
THOMAS ORTON 26 KENCOMSETT CIR
26 KENCOMSETT CIRCLE YARMOUTH. MA 02675
YARMOUTHPORT, MA 02675
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 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
Eric Weston
Health
1Jamcsdiner
Health Director
°�mr TOWN OF YARMOUTH Board of
Health
1.~ -�h ii 1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Health
MATTACNEESE
'�� Telephone(508)398-2231, ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION-2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS
` E-MAIL-bv,tO t) P.t
&V ()U• _i ,J, o `le
NAME VL U L`-) (>t 11 0 HOME TEL.NO, Q) Y..Z y 4
LOCATION ADDRESS l �..40 t<n vn tc�,-S.._. (,,,J.e.. f,..,J 9wL
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL L. NUMBER OF PENS/COOPS 1 NUMBER OF ROOSTERS I
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
W c
TYPE OF SHELTER >c a SIZE OF YARD/PEN AREA g 500 `S`�
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS f WATER TROUGHS t
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 1A....2-4 \
TYPE OF FACILITY USED FOR MANURE STORAGE C e-4--
METHOD OF DISPOSAL OF MANURE Ci-' V)�i-4' HOW OFTEN C
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?c.kk 1.t-- - �.‘ram_
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 appropriatelyif paid: Yes }tom No
SIGNATURE DATE
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: > POULTRY: 1-9 chickens $$30.00
10 or more Chickens $40.00
A ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE:$
12/30/l9
MAR 1 7 2023
HEALTH DEPT.