HomeMy WebLinkAbout2023 App & License 4.. The Commonwealth of Massachusetts
of ',, ' �y Town of Yarmouth, MA
:',. Poultry License
Permit No. BOPL-23-161 Issue Date: January 1, 2023
Applicant's Mailing Address: Location Address:
341 NORTH MAIN ST
SOUTH YARMOUTH, MA 02664
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 10 chickens (fowl)
Please Post License on Premises
Board Hillard Boskey, M.D., Chairman
Mary Craig,Vice Chairman
Charles T. Holway.Clerk
of
Eric Weston
Health Laurance Venezia, DVM
1
j"Jarnekir
Healt irector
°F Y� TOWN OF YARMOUTH
Board of
1 • t Health
•
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
MATTACXEESE
�* Telephone(508)398-2231,ext. 1241
Fax(508)760-3472 Division
APPLICATION FOR OPERATION-2023
POULTRY
PLEASE COMPLETE ALL QUESTIONS
E-MAIL ,(M�
NAME W e
QHOME TEL.NO. i i ;330>LOCATIO A,DDRESS_. �tw
MAILING ADDRESS(IF DIFFERENT)
NUMBER OF FOWL IC NUMBER OF PENS/COOPS 4- NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER WO DO ov C,m SIZE OF YARD/PEN AREA 3OO f 5a'�a`
(WOOD,CONCRETE,ETC.)
NUMBER OF WATER OUTLETS WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 641l,0,vis."( W v- AUG 1 8 2n21
TYPE OF FACILITY USED FOR MANURE STORAGE (7a4 HEALTH DE PT
METHOD OF DISPOSAL OF MANURE HOW OFTEN CiAl
PEN AREA ENCLOSEDBY WHAT TYPE OF FENCING? cf L'IJA .L (bek../
c./ l
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
SIGNATURE DATE 6 `'
THE FULL POULTRY OUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: l/1‹ULTRY: 1-9 chickens 0.00
10 or more Chickens $3 40.00
RO R (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS) 1 I
O ROOSTER S�no /% r hew) �?, I C h t'c kc},
/ I'
TOTAL DUE: $ t G)h 5 " - L,•.J25. 0 /cI 6,4 w i`1
12/30/19 Kt {fir' t s S(2 S 4 o�e��([ (t, /� ( (^.c�