HomeMy WebLinkAboutStable License 20242/14/24, 9:56 AM
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< The Commonwealth of Massachusetts
Town of Yarmouth, MA Fee
$50.00
Stable License
it No. BHST-24-3 Issue Date: January 1, 2024
kpplicant's Mailing Address: Location Address:
Vanda Starace 172 NORTH MAIN ST
72 NORTH MAIN ST SOUTH YARMOUTH, MA 02664
SOUTH YARMOUTH, MA 02664
IS HEREBY GRANTED A 2024 LICENSE
is license is granted in conformity with the statutes and ordinances relating thereto, and
pires December 31, 2024 unless sooner suspended or revoked and is not transferable.
Post License on Premises
Board Hillard Boskey, M.D., Chairman
Mary Craig, Vice Chairman
of Charles T. Holway. Clerk
Eric Weston
Health Laurance Venezia, DVM
" � . -,.,v -
James G. GaLrdiner
cto r
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TOWN OF YARMOUTH Board of
Health
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 -
Telephone (508) 398-2231, ext. 1241 Health
Fax (508) 760-3472 Division
APPLY ONLINE
APPLICATION FOR OPERATION - 2024 ""'Y°ahmu.p°ru, °a °c„v WU
STABLE
PLEASE COMPLETE ALL IaUESTIQNS E-MAIL_5LAra 11ARN3 .[py)
NAME WAAM HOME TEL. NO.
STABLE ADDRESS
MAILING ADDRESS (IF DIFFEREN
EMERGENCY CONTACT (NAME/Pl
VETERINARIAN (NAME/PHONE #) h1j%j ijNp t"S&X
TOTAL NUMBER OF HORSES/PONIES—�q_ TOTAL NUMBER OF STALLS
>'T'a
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF ANIMA i o
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
PLEASE LIST EACH HORS E/PONY/DONKEY'COW SEPARATELY:
ANIMAL NAME 1F APPLICABLE
BREED
YEAR ACQUIRED
COLOR
w
Me
SEX
DATE OF RABIES VACCINATION
-11011
L.
DATE OF EEE VACCINATION 1
7
DATE OF OTHER VACCINATIONS
7
TYPE OF STABLE/SHELTER N SIZE OF CORRAL AREA 5O $ 0
(WOM, CONCRETE, ETC)
NUMBER OF HOSE BIB WATER OUTLETS DRAINS WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED -'GRAIN
TYPE OF FACILITY USED FOR MANURE STORAGE
METHOD OF MANURE DISPOSAL FREQUENCY NE01
CORRAL/PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? Af
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES NO
(PLEASE NOTE: POULTRY, SWINE, SHEEP, CATTLE, GOATS REQUIRE SEPARATE LICENSURE)
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 BV ALL ABUTTERS TO PROPERTY.
Town of Yarmouth taxes and liens must be paidprior to renewal or issuance of your permits.
Please check appropriately if paid: Yes / No
SIGNATURE DATE �t •� - p"
FEES: STABLE & 1 HORSE $30.00 (i $5.00 each additional horse�animal) TOTAL DUE: $_
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