HomeMy WebLinkAboutBOPL-24-9-o The Commonwealth of Massachusetts
s Town of Yarmouth, MA
Poultry License
Permit No. BOPL-24-9 Issue Date: January 1, 2024
pplicant's Mailing Address: Location Address:
inda Gatchell 8
Smith Road SMITH RD
Guth Yarmouth MA oz664
SOUTH YARMOUTH, MA 02664
IS HEREBY GRANTED A 2024 LICENSE
his license is granted in conformity with the statutes and ordinances relating thereto, and
aspires December 31, 2024 unless sooner suspended or revoked and is not transferable.
No Roosters
UP to 9 chickens
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. Ga er
Hea rrec or
TOWN OF YARMOUTH
Board of
Health
1 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
Telephone (508) 398-2231, ext. 1241 HeaHeall
Fax (508) 760-3472
APPLICATION FOR OPERATION - 2024 APPLYONLPNF
POULTRY TnpsY,rsmkouchme.pc)nal.vpengov WM
PLEASE COMPLETE ALL QUESTIONS { + G
E-MAIL ) iyldo-
NAME�4�C-Sc��\
��� HOME TEL. NO. 5b
LOCATION ADDRESS 6' S► ja (- wt 6 ti -� L
MAILING ADDRESS (IF DIFFERENT).-
NUf
MBER OF FOWL ail NUMBER OF PENS/COOPS NUMBER OF ROOSTERS CD
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER SAea SIZE OF YARD/PEN AREA 2-
(WOOD, CONCRETE, ETC.)
NUMBER OF WATER OUTLETS I WATER TROUGHS_
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN s 11
TYPE OF FACILITY USED FOR MANURE STORAGE
METHOD OF DISPOSAL OF MANURE Lc UJ l HOW OFTEN_
PEN AREA ENCLOSED BY WHAT TYPE OF FENCING? -5 lk 6._ r eC �,� t PY� t cJ < j� •�
_ 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 7 DATE
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEESI +i POULTRY: 1-9 chickens 30.00
10 or more Chickens 40.00
C� ROOSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
✓ NO ROOSTER
TOTAL DUE: $ 30 � 0
1 _r30d 9
RECEIVED
F LB 2 n 2024
HEALTH DEPT