HomeMy WebLinkAboutBOPL-24-5-2/12124, 1:25 PM
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is of Y4R °. The Commonwealth of Massachusetts
o� Town of Yarmouth, MA
Poultry License
it No. BOPL-24-5 Issue Date: January 1, 2024
iplicanVs Mailing Address: Location Address:
tastasia Rosa 45 REID AVE
Reid Ave WEST YARMOUTH, MA 02673
wt Yarmouth MA o2673
IS HEREBY GRANTED A 2024 LICENSE
is license is granted in conformity with the statutes and ordinances relating thereto, and
Aires December 31, 2024 unless sooner suspended or revoked and is not transferable.
No Roosters
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 . Gar iner
Heal ector
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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 ONUNF
APPLICATION FOR OPERATION - 2024 hap5 'varmouthmapo,MloMgovcom
POULTRY
PLEASE COMPLETE ALL QUESTIONS ,/� y�
E-MAIL A K- �T�--�yy,,N �`
NAME y1Gi s Q c.; C� �f HOME TEL. NO, J) B
LOCATION ADDRES
MAILING ADDRESS (1F DIFF
NUMBER OF FOWL NUMBER OF PENS/COOPS NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER ` U� SIZE OF YARD;'PEN AREA Ac. (0
(WOOD, CONCRETE, ETC)
NUMBER OF WATER OUTLETS I . _ WrATER TROUGHS 1 l
TYPE OF STORAGE FACILITY USED FOR FEED`GRAIN Gi�a/n 13-" d / 1O
�
TYPE OF FACILITY USED FOR MANURE STORAGE ,S7 j 11)
L
METHOD OF DISPOSAL OF MANURE C rn flS�[ —HOW OFTEN (y) W-Pt I Lj
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? uafv d WtY z G
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 paidnor to renewal or issuance of your permits.
Please check appropriately if paid: Yes No
SIGNATURE DATE
THE FULL POULTR COU 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) I ,im 119 202A
NO ROOSTER ' HEALTH DEPT.
TOTAL DUE: $
12/30/19
13,�PL- ay-S