HomeMy WebLinkAbout2023 App-License The Commonwealth of Massachusetts Fee
Town of Yarmouth $40.00
Poultry License
Number: BOHP-22-3221-01 Issue Date: 1/1/2023
Mailing Address: Location Address:
GREGORY BILEZILSIAN 173 ROUTE 6A
KELLY O'CONNELL YARMOUTH PORT. MA 02675
13 WILLOW STREET
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 UPTO 24 CHICKEN
NO ROOSTERS
Board Hillard Boskey, M.D.,Chairman
Mary Craig, Vice Chairman
of Charles T. Holway, Clerk
Eric Weston
Health
iJamGardiner
Health Director
F ...r)ITOWN OF YARMOUTH Board of
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-,.\)
Health
,
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
�` / Telephone(508)398-2231,ext. 1241 Health
Fax(508)760-3472 Division
APPLICATION FOR OPERATION - 2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS 1
E-MAIL .eA 1( el\C ik-houX,1(po.eir-
NAMEj�t�_1g. � LAA. _ 6:�-.2 \ I a 1,-).__. HOME TEL.NO.T tt_q qi 21 it 0 eCft Ri •WW1
LOCATION ADDRESS_... C ...,_3.,,.,....,_ ._CAy-).................5 fr 1/GY-Yvvovkin ........__..{ M4_. 02 ln- s
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL 2 NUMBER OF PENS/COOPS t NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER kik(�(/� ..............�__.__ SIZE OF YARD/PEN AREA (D ,/, /0
(WOOD,CONCRETE,ETC.)
NUMBER.OF WATER OUTLETS- . _ 2- W e TE TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN S,. ..� tVl...... .C..�...__11 (I me t/S
TYPE OF FACILITY USED FOR MANURE STORAGE C.OVi Y-
METHOD OF DISPOSAL OF MANURE CJ 11Y\"FD9 e V- ._ HOW OFTEN 1 �n 3 y t UVl-l'h IL]
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?___....Maj....._ 1:4_/I r-F h C I Yl 5.._..._._..._........
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 appropriately if paid: Yes No
'' DATE-----P- / 7,02 3
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 .00
ROOSTER (NOTE:SPECIAL APPROVAL REQUIRED FOR ROOSTERS) C�/`0.
M
NO ROOSTER q
A/ R 7620e
TOTAL DUE: $ 2/ -194rti
bin
12/30/19