HomeMy WebLinkAboutBOPL-24-12112/24, 12:01 PM
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The Commonwealth of Massachusetts
'o Town of Yarmouth, MA
Poultry License
Permit No. BOPL-24-1 Issue Date: January 1, 2024
Lpplicant's Mailing Address: Location Address.
elly oconnell 173 ROUTE 6A
73 Main St YARMOUTH PORT, MA 02675
armouth Port, MA 02675-1713
IS HEREBY GRANTED A 2024 LICENSE
his license is granted in conformity with the statutes and ordinances relating thereto, and
Kpires 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 G. Gar 'ner
Health r
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TOWN OF YARMOUTH Board of
Health
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 -
Telephone (508) 398-2231, ext. 1241 �.�L���' Health
Fax (508) 760-3472 Division
wC 15 202
APPLICATION FOR OPERATION - 2024 HEALTH DEPT.
POULTRY
PLEASE COMPLETE ALL QUESTIONS
E-MAILK.Q." P— (i�V1EvOVs& `IrS
NAME �iG 611�Z11C1c" + I�ell`(�(raYlhe-l{ +1+Yt(.[v
HOME TEL. NO. �� L� gC(14 - Z (y q
LOCATION ADDRESS l 3
MAILING ADDRESS (IF DIFFERENT)
NUMBER OF FOWL L 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 Wow {- Lt/ I Ir`2� SIZE OF YARD/PEN AREA U i �O I
(WOOD, CONCRETE, ETC)
NUMBER OF WATER OUTLETS 2- WATER TROUGHS Q
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN �� as i" 1^f_ -+ (til /L } i (� �`� VA S
TYPE OF FACILITY USED FOR MANURE STORAGE COVVI ppS�- e✓1(-
METHOD OF DISPOSAL OF MANURE lY1 +-O Ct CADM ' D SK l• HOW OFTEN W eCA t
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? i FCviG V?
7� 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: Yeses_ No
SIGNATURE DATE
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 W.00
ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
NO ROOSTER
TOTAL DUE: $ 0
12 30/19
APPLY ONLINE
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