HomeMy WebLinkAboutPOULTRY APPLICATION & LICENSE - 2008o
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TOW-N OF YARMOUT.H
I146 ROUTE,28 SOUTH YARMOUTH I\{ASSACHUSETTS 02664-4451
Telephone (508) 398-2231, Ext. 241 - Fax (508) 76A-3472 I
BoARD oF HEALTH i-r
APPLICATION FOR OPERATION - 2OO8
POULTRY
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MAILINC ADDRESS (TF DITFERENT)
NAME
LOCATION ADDRESS
NUMBER oF FowL aL NUMBER oF pENsrcoops
TYPE OF SHELTER vV o o4- svE oF YARD/PEN AREA
(wmD-oNcRETE. ETC.)
NUMBER OT' V/ATER OUTLETS A
o-rrY-rat4h
N'IJMBER OF ROOSTERS
or 75
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WATER TROUGHS
TYPE OF STORAGE FACII-ITY USED FOR FEED/GRAIN rne to k-rO c'J
TYPE OF FACILITY USED FOR MANURE STORAGE
METHOD OF DISPOSAL OF MANLRI HOW OFTEN da,-U^
PEN AREA ENCLOSED BY WHAT ryPE OF FENCING?flctSf*- fA-.^O ,m"sn na1;rv6,re
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NEW APPLICATION .IF NEW APPLICATION. PLEASE ATTACH A COPY OF PLOT PLAN SHOWING LOT
LINES AND LOCATION OF STABLE, PEN, ETC., AN'D ALL ENCLOSURES. ALSO, A
WRITTEN LETTER OR STATET,IENT, SIGNED BY ALL ABUT'TERS TO PROPERTY.
Town of Yarmouth taxes and liens must be paid pgier to renewal or issuance ofyour permits
Please cbeck appropriately ifpaid: Yes--12! No-
SIGNATURE
THE FULL POULTRY COUNT IS NOT TO EXCEE THE AMOUNT OFPRIOR YEAR'S TOTAL
DATE /z/
s25.00
(NOTE: SPECIAL APPROVAT REQUIRED FoR RooSTERS)
FEES:
-POULTRYROOSTER
TOTAL DIIE: $ 25 'oo
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PLEASE COMPLETE ALL OUESTIONS
THE COMMONWf,ALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT NUMBER: #08-005 FEE: $2-s.00
This is to Certili that Charles Bilezikian
88 Mill Lane- Yarmouth .MA
IS HEREBY GRANTED A LICENSE
FoT POIILTRY I,ICENSE: ALLOWED TO HAVE 25 CHICKENS. AND SEASONALLY
SECTIONS I55 AND 3I.LICENSE ON PREMISES
This permit is gauted in conformity with Arricte VI ofthe Sanitary Code ofThe Commonwealth ofMassachusetts, and
expires December 3 l. 2008 unless sooner suspended or revoked.
Januarv 17, 2008 BoARDoFHEALTH: S&ls. S R,JI,efrafunatteftatb 5L UicePfraiman
Bruce G. Mumhv- MP
Director of Helallli R.CHO
(AI rG -OCT ) 7s Tt TRKFYS, AT AROVF ADDRFSS GRANTF.D rN ACCORnANCF
WITH PROVISIONS OF MASSACHUSETTS GENERAL LAWS . CHAPTER 11I -