HomeMy WebLinkAboutPoultry License 20242/12/24, 2:23 PM
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* o The Commonwealth of Massachusetts
�0a s Town of Yarmouth, MA
Poultry License
rmit No. BOPL-24-7 Issue Date: January 1, 2024
►plicant's Mailing Address: Location Address:
►uglas Sherman 18 PINNACLE LN
Pinnacle Lane YARMOUTH PORT, MA 02675
rmouth Port MA o2675
IS HEREBY GRANTED A 2024 LICENSE
is 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
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. Gardhker
Hea
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TOWN OF YARMOUTH Board of
Health
_1 146 ROUTE 28 SOUTH YARMOUTH, MASSACHUSETTS 02664-24451 Health
_: J� Telephone (508) 398-2231, ext. 1241
Fax (508) 760-3472 Division
DEC 2 .1 2023 l
AMY ONLINE
HEALTH DEPW ICATION FOR OPERATION - 2024 httpc VWM0UtbM2aPCti],0PC0g0%con
POULTRY
PLEASE COMPLETE ALL QUESTIONS Q
E-MAIL j Gov /�
NAME D�cis Lt"'t , U1,4'ryto'AJ HOME TEL. NO. 77Y 71� %y'
LOCATION ADDRESS 22 Al E!y AC (f _ ���� `f Lin AIL /�►,� tit
MAILING ADDRESS (IF DIFFERENT) IF
NUMBER OF FOWL NUMBER OF PENS/COOPS. I NUMBER OF KOOSTERS
PLEASE NOTE: PLEASE DO NOT INCREASE THE NUMBER OF FOWL
WITHOUT PRIOR PERMISSION OF THE HEALTH DEPARTMENT.
TYPE OF SHELTER kjoCd -l; , IQ SIZE OF YARD/PEN AREA b Gt Xo?O
(WOOD. CONCRETE, ETC)
NUMBER OF WATER OUTLETS
WATER TROUGHS I
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN "log
TYPE OF FACILITY USED FOR MANURE STORAGE S
METHOD OF DISPOSAL OF MANURE.. (A) AV HOW OFTEN_
PEN ARE CLOSED 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 LET"R OR STATEMENT, SIGNED BY ALL ABUTTERS TO PROPERTY.
Town of Yarmouth taxes and liens must be p I prior to renewal or issuance of your permits.
Please check appropriately if paid: Ye No
SIGNATURE DATE - l la - 2 0-
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: $
12/3U 9