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{°f The Commonwealth of Massachusetts
Town of Yarmouth, MA
Poultry License
Permit No. BOPL-24-4 Issue Date: January 1, 2024
ipplicant's Mailing Address: Location Address:
can Hagopian 95 ROUTE 6A
5 Route 6A YARMOUTH PORT, MA 02675
armouth Port MA 02675
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, MD., Chairman
Mary Craig, Vice Chairman
of Charles T. Holway. Clerk
Eric Weston
Health Laurance Venezia, DVM
James G. Ga 'ner
or
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TOWN OF YARMOUTH
Board of
Health
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
Telephone (508) 398-2231, ext. 1241
Fax (508) 760-3472 Division
APPLY ONLINE
APPLICATION FOR OPERATION - 2024 h+" vv.moutemop..rtaltprogorcow
POULTRY
PLEASE COMPLETE ALL QUESTIONS
E-MAIL 10. cct 1M
NAME Sz6(V\ -I- J-eS5P- C)�71C''n HOMETEL.NO. ;2.34
LOCATION ADDRESS `� t; RJUck b h j m Ni c;k-�+h Pn ri- 1, n 2tv-7 S'
MAILING ADDRESS (IF DIFFERENT)
NUMBER OF FOWL IV NUMBER OF PENS/COOPS I NUMBER OF ROOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER W') a C\ SIZE OF YARD, PEN AREA
(WOOD, CONCRETE, ETC)
NUMBER OF WATER OUTLETS d- WATER TROUGHS �-
TYPE OF STORAGE FACILITY USED FOR FEED!GRAIN � i n
TYPE OF FACILITY USED FOR MANURE STORAGE
METHOD OF DISPOSAL OF MANURE��° HOW OFTEN VV e Q i
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? r i yarn W' f 2.
✓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
THE FULL POUL RY 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
12WI9
/3 OpL - 2 y -/