HomeMy WebLinkAboutBOPL-24-32112/24, 12:43 PM
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of Y�R
�. The Commonwealth of Massachusetts
o- H Town of Yarmouth, MA
Poultry License
Permit No. BOPL-24-3 Issue Date: January 1, 2024
Vicant's Mailing Address: Location Address:
ena Censale 30 GREYHAMPTON RD
Grey Hampton Rd WEST YARMOUTH, MA 02673
st Yarmouth MA 02673
IS HEREBY GRANTED A 2024 LICENSE
lis 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. Gar er
Hea h D'
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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 Division
Fax (508) 760-3472
APPLY OM INP
APPLICATION FOR OPERATION - 2024 hnps 'lyarmoutbma KnR1 opengov.wm
POULTRY
PLEASE COMPLETE ALL QUESTIONS _
_ E-MAIL r��E.IY ,5t19r}/y C'O/��°ISTi ti�
NAME 4- �O/�/t/ C�%Jf �/1� HfO,,M`ETEL.``7
NO. 0�,3�/�oZ%��
LOCATION ADDRESS 3 C-�2 /,--y /�st,� �� p 1/ "- Y) /z mvcc�-,v
MAILING ADDRESS (IF DIFFERENT)
NUMBER OF FOWL .3 D NUMBER OF PENS/COOPS_ NUMBER Or ROOSTERS 'Cl-
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER Co /J SIZE OF YARD/PEN AREA ,� 9
(WOOD, CONCRETE, ETC.)
NUMBER OF WATER OUTLETS --?
WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN 6 eq"q
TYPE OF FACILITY USED FOR MANURE STORAGE
METHOD OF DISPOSAL OF MANURE 6 H00�L ff 3 HOW OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?__
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 'tom" No
SIGNATURE C �J/�-��zC�_ DATE
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: a POULTRY: 1-9 chickens 30.00
10 or more Chickens 140.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
O�
TOTAL DUE: S qa
12/30/19
ULU U 5 2J23
HEALTH DEPT.
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