HomeMy WebLinkAboutPOULTRY APPLICATION & LICENSE - 2000YZT-9
TO'W'N OF YARMOUT E(eIEl!V7rED
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B()..\RD OF HEAI-TH
APPLICATION FOR OPERATION - 2OOO
POULTRY
".)NUMBER OF PENS/COOPS
SIZE OF YARD/PEN AREA
(WOOD CONCRETE;ETE.)
NUMBER oF wATER ourLETs 2-waren rnoucus ,/
TypE oF sroRAcE FAcrt-rry usED FoR FEED/GRATN 4 eTfr l. Lt I o 5t. d
TypE oF FACILTTy usED r--oR MANURE sroRAcE p a u (
METHoD oF DrsposAl oF MANune D.,,ryPe il 6!c ', 17c HOW OFTEN
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PLEASE COMPLETE ALL OUESTIONS
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NUMBER OF *OO"U*'.I
ADDRESS
Ir4AlLlN(; ADDRESS (lF DIFFERENT)
NUMBER OF FOWL
TYPE OF SHELTER tu ood 30'x 30'
OTHER FARM ANIMALS MAINTAINED AT PREMISES (please indicate numbers)4 kltn t Hol2<c s
pEN AREA ENCLOSED By wHAr rypE OF FENCTNG? iU u;d,/ c t r a
DATE Ol MOST RECENT INSPECTTON OF PREMISES
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NEW apPr rcaTroN -
INSPECTED BY
IF NF,W APPI,ICATION^ PT,EASE ATTACH A COPY OF PLOT PLAN SIIOWING LOTLINES AND LOCATION OF STABLE, PEN, E'TC., A.ND ALL ENCLOSURES. ALSO, AWRITTEN LETTER OR STATEMENT, SIGNED BY ALL ABUTTERS TO PROPERTY.
Town ofYarmouth taxes and liens must be paidprior to renewal or issuance ofyour permits.
Please check appropriately if paid: Yei n/' No-
SICNATURE oer'r D€e // n7 7
THE FULL POULTRY COUNT IS OT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: y' PoULTRY
ROOSTER
$25.00
(NoTE: SPECIAL APPROVAL REeUIRED FOR ROOSTERS)
F]Prir)ted on
Recycled
Paper
TOTAL DUE: S 25,OO
I t/99
THE COMMONWE
TOWN
A LTH OF I}IASSACH USETTSOF YARMOUTH
BOARD OF HEALTH
FEE: $25.00This is to Certiry th
IS HEREBY GRANTED A LTCENSE
For
'Ihis permrl is granted in conformi
December 3l . 2000
ly with Article VI of the Sexplresunless s
anitary Code of 'I.he Commonwealth of Massach
December 7 , l9_ga
ooner suspended or revoked usetts, and
Cl,oi,^on
I]OARD OF HEAL'I'H
Bruce G.Murp y,M H S., CHODirectorof llealrh
PERMITNUMBER: y2K_j
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