HomeMy WebLinkAboutBHST-24-1-2/12/24, 11:55 AM
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Permit No. BHST-24-1
The Commonwealth of Massachusetts
Town of Yarmouth, MA
Stable License
Applicant's Mailing Address:
Robin Joly
P. O. Box 219, Yarmouth Port, MA 02675
P. O. Box 219, Yarmouth Port, MA 02675
Fee
$30.00
Issue Date: January 1, 2024
Location Address:
154 SUMMER ST
YARMOUTH PORT, MA 02675
IS HEREBY GRANTED A 2024 LICENSE
This license is granted in conformity with the statutes and ordinances relating
thereto, and expires 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
Laurance Venezia, DVM
Health Eric Weston
James G. G (diner
-9ireL`tor
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TOWN OF YARMOUTH Board of
Health
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451
Telephone (508) 398-2231, ext. 1241
Fax (508) 760-3472
APPLY ON U IN' l
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APPLICATION FOR OPERATION - 2024
STABLE
Health
Division
PLEASE COMPLETE ALL QUESTIONS E-MAIL 5'S DVM 0 PCACp ei,
NAME b 1 HOME TEL. NOa�-6 F- — �3G �1 _ �, 3[S �-
STABLE ADDRESS
\—
,� v I
MAILING ADDRESS (IF DIFFERENT)
EMERGENCY CONTACT (NAME/PHONE # S E ` -`
VETERINARIAN (NAME/PHONE #)
TOTAL NUMBER OF HORSES/PONIES—�— TOTAL NUMBER OF STALLS /
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF A'. 11 S
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMEN*. 23
PLEASE LIST EACH HORSE/PONY/DONKEY'COW SEPARATELY:
ANIMAL NAME IF APPLICABLE)
BREED
YEAR ACQUIRED
COLOR
SEX
DATE OF RABIES VACCINATION
DATE OF EEE VACCINATION
DATE OF OTHER VACCINATIONS
3
TYPE OF STABLE/SHELTER 6 G\+( h SIZE OF CORRAL AREA f� �( U
(WOOD, CONCRETE, ETC) —
NUMBER OF HOSE BIB WATER OUTLETS -- DRAINS WATER TROUGHS �r
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN TDB �( h W fv% & �- C\, % n 3 > > (I s
TYPE OF FACILITY USED FOR MANURE STORAGE to C -c,\\-CA n S
METHOD OF MANURE DISPOSAL
FREQUENCY
CORRAL/PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? Wo O PC~
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES NO
(PLEASE NOTE: POULTR) , 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 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 �� �� c�� \1 r� DATE / - - 3
FEES: STABLE & 1 HORSE $30.00 (+ $5.00 each additional horse/animal) TOTAL DUE: $
3 2130111)
911-s7- a 11- /