HomeMy WebLinkAboutBOPL-24-62112/24, 1:32 PM
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The Commonwealth of Massachusetts
o ti y Town of Yarmouth, MA
Poultry License
Permit No. BOPL-24-6 Issue Date: January 1, 2024
iplicant's Mailing Address: Location Address:
m Orton 26 KENCOMSETT CIR
Kencomsett Circle YARMOUTH PORT, MA 02675
:mouth Port MA 02675
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.
No Roosters
se 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
James G. GardNer
Hea
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1i1
TOWN OF YARMOUTH Board of
Health
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
Telephone (508) 398-2231, ext. 1241 Division
Fax (508) 760-3472
APPLY ONLINE
APPLICATION FOR OPERATION - 2024 htR's'""Mouthmapo�I�Mgo.coo
POULTRY
PLEASE COMPLETE ALL QUESTIONS
E-MAIL -F�At � �
NAME .1 Sum �U HOME TEL. NO. _ � Z Z -j O
LOCATION ADDRESS
MAILING ADDRESS (IF DIFFERENT)
NUMBER OF FOWL Lb NUMBER OF PENS/COOPS 1 NUMBER OF ROOSTERS /
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER_ SIZE OF YARD/PEN AREA
(WOOD, CONCRETE, ETC.)
NUMBER OF WATER OUTLETSWATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED.�GRAIN
TYPE OF FACILITY USED FOR MANURE STORAGE )� _
METHOD OF DISPOSAL OF MANURE, HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? .e—k it
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- ��__ _ DATE_ I�
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
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: S
12/30/ 19
JAN 18 2024
HEALTH DEPT.