HomeMy WebLinkAboutPOULTRY APPLICATION & LICENSE - 2007O
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TO\TN OF YARMOUT
i 146 ROUTE 2I] SOUTI] YARMOUTH MASSACHUSETTS 0266
Telephor,e (508) 39&2231, Ext.24l - Fax (508) 760'34'72,
BOARD OF HEALTH
Nov 2 7 2006
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APPLICATION FOR OPERATION - 2OO7
POULTRY
PLEASE COMPLETE ALL OUESTIONS
NAME e.Ho+(r- s K,'la-i ,, O,J HoMErEL.No. 6 rY ) L.t C tv \
LCCATIoNADDRESS g ?
NT MBER oF FowL J .r- NUMBER o!- pENs/coops
TYPE OF SI IEI,TEIi w q\d
(wooD, coNcP.ETE, ETC.)
NUMBER oF wATER ourLETS )-
TypE oF sroRAcE FACILTTy usED FoR IrEED/cRAIN W
TYPE OF FACILITY USED I'OR MANT'RE STORAGE
METHOD OF DISPOSAL OF'MANURE B f.r,
PEN AREA ENCLOSED BY W}IAT TYPE OF FENCING?
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MAILING ADDRESS (tr DTFFERENT)
NIJMBER OF ROOSTERS
STZF OF YARD/PEN AREA 14',Y-I
wATERTRouGHs ).--
J Me J
HOW OFTEN D
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RENEWAI
NEW APPLICATION -IF NEW APPLICATION, PLEASE ATTACH A COPY OF PI.JOT PLAN SHOWING I.OT
LII\ES AI'D LOCATION OF STABLE, PEN, ETC., A}ID ALL ENCIOSUR-ES. AISO' A
WRII'TEN LET'Tf,R OR STATEMENT, SIGI\IED BY ALL ABUTTERS TO PROPERTY.
Town of Yamouth taxes and lieos must be J'aid prior to renewal or issuance of 1'otir pennits.
Please check appropriately paid: Yes J No-
^SIGNATI'RE DATE IJ J)
THE FULL POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OT PRIOR YEAR'S TOTAL
$25.00
(NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
POULTRY
ROOSTER
FEES:
TOTALDI]E:$ Z5.OO
10/06
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PERMIT NLMBER
THE COMMOI\MEALTH OF MASSACHUSETTS
TOWN OFYARMOUTH
BOARD OT HEALTH: #07-002 FEE: $25.00
This is to Certi& 0rat
88 Mill Lane. Yarmouthport. MA
IS Hf,REBY GRANTED A LICENSE
For POULTRY LICENSE. ALLOWED TO HAVE 25 CHICKENS. AND SEASONALLY
SECTIONS I55 AND 3I.PLE E POST LICENSE ON PR-I]MISES
This permit is granted in conformity with Artiole VI ofthe Sanitary Code of The Commonwealth ofMassachusetts, and
expires Decrmber 31. 2007 unless sooner suspended or revoked.
I]oARD O}-HEALTH
Q&zd"*l"5"id
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Bruce G. Mumhv-
Director of Healfti
PH, R.S., CHO
(AIrG -OCT ) 25 TI TRKFYS, AT AROVF ApDRFSS GRANTFD IN ACCORDANCF
WITH PROVISIONS OF MASSACHUSETTS GENERAL LAWS - CHAPTER 1I1 -
January 19. 2007