HomeMy WebLinkAboutPOULTRY APPLICATION & LICENSE - 2009PLEA SE COMPLETE ALL OUES
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TOWN OF YARMOUT
I 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-2445I
TelePhone (508) 398-2231, exr. 241
Fax (508) 760-3472
APPLICATION FOR OPERATION - 2OO9
POULTRY
TIONS
I Iealth
Division
NA\,IE t- /'-tcr-.y le SB kic^t-"',
LOC'ATION ADDRESS 8a /\/lill ane-07--91 6Yl
NtlvtBER OF FOW JS Nt;tvtBER oF pENs,coops (, NUIIBER oF RoosrERS
SIZE OF YARD,PEN AREA .9o x-,-g c:
t. leZ HOME TEL. NO S.E -362- 6283
/11 ozcT 5
o
A-* t1')
\{AIIINC ADDRLSS (IF DIFFERENT)
NLMBER OF WATER OUTLETS WATER TROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED GRANi r11e l^L
TYPE OF FACILITY USED FOR VANL'RE STORAGE 11 0r't <-
MET}IOD OF DISPOSAL OF \,IANURE Corv't off s ,k
HO1V OFTEN
PEN AREA ENCLOSED BY WHAT TYPE OF FENCNG?S (?e.?)rn<\h
TypEor SHELTER V{Ocd-: :(wooD. coNcRETE ETC )
2
,/u*r*o,
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NEW APPLICATION .IF TEW APPLICATION. PLEASE ATTACH A COPY OF PLOT PL-{.\.- SHO1VING LOT
iiirl aio LocATIoN oF srABLE, PE].., ETc', Al'iD AL-L-E-r-cLosuRES' ALso' A
ir:iu-rTEi rr-rrER oR srATE\IErr, SIG\ED BY '{LL ABUTTERS ro PRoPERTY'
Board of
Hcxlth
Tou,n of Yarmouth ra.res and licns must be paidPriorlo renewal or issuance of your pcrmrls'
Please check appropriately rf paid: Yesj:- No-
SIGNATTIRE
THD FULL POULTRY COUNT IS NOT TO
FEES: POLTLTRY: l -9 chickens
DATE /J otr
CEED THE AMOUNT OT PRIOR YEAR'S TOTAL
$30.00
$40.00l0 or more Chickerrs
ROoSTER (NOTE: SPECIAL APPROVAL REQUIRED FOR ROOSTERS)
TOTAL DUE: $4o.a
2 b,tj^ : 23 c*r rc.gtsS
S'ASoNAL (nue-ocr) : 25 fuer€!^s
I l,0ri08
FEE: 540.00
l0 or more chickens
This is to Certifl lhat Charles Bilezikian
88 Mill Lane. Yarmouthport. MA
IS HEREBY GRANTED A LICENSE
For POULTRY LICENSE: ALLOWED TO HAVE 25 CHICKENS. AND SEASONALLY
w PROVISIONS OF I\,IASSACHUSE S GENERAL LAW S. CHAPTER II
SECTI NS I55 AND 3I.PLEASE POST I,ICENSE ON PREIIII ES
This pemrir is granted in conformity rvith Article VI ofthe Sanitan Code ofThe Common*eahh ofMassachusetts, and
erpires Dcccmber 3 I . f009 tmlcss sooner suspcndcd or retoked
ber l7 BOARD OT' HEALTH
Bruce G. Mumhv. MPH. R.S.. CHO
Director of Hdal{h
W THE COMMONWEALTH OF NIASSACHUSETTS
TOWN OF YARJVIOUTH
BOARD OF HEALTH
X
PERMIT NUMBER: #09-004
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