HomeMy WebLinkAboutSHEEP,SWINE,GOAT APPLICATION & LICENSE - 2009TOWN OF YARMO
APPLICATION FOR OPERATION . 2OO9
SHEEP/GOATS
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I 146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664.244JI
Tclcphone (508) 3 98-2231, cxt. 241 .. - ;Fax (508) 760-3472 r'
HDE
NAlvlE C-mat !..e,. B; Iez-ikt'or---t
FEf,:-E animals &30.00
! fi 66tr rnimrlq $35.(Xl
jRenewal
_New Application
HoMETEL No. 5(, 9-362- a rg3U
ADDRESS 88 M;tt
VAILT.NG ADDRESS (IF DIFFERENT)
A)-te- L A)'i)1 <JU-"-11 torf /\,1 O2J7 S
EMERGENcy coNrACr (N,{vE,?HoN r *l W I lt'cv &*<r
t . <) o/-t Le.acA 5o
PLEASE LIST EACH S\[ INE SHEEP GOAT SEPARATELY
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-47 33287-VETERINARIAN (NAME,?HONE #)
TOTAI- I\.II]},IBFR OF ANIMAI S
ANIMAT NAVE (IF APPLICABLE)
BRELD
4 YEARS OWIIED
COI.OR
SEX
DATE OF RABIES VACCINATION
DATE OF EEE VACCII{ATION
DATE OF OTHER VACCTNATIONS
TypE oF STABLE,,SHELTER l,^/ ooD SIZE OF CORRAL AREA / 5x/S
(\lOOD. CoNCREIE. ETC.)
ryPE OF STORAGE FACILIry USED FOR FEED,GRAT\I rY)e/-oJ)
TYPE oF FACILITY USED FoR MANURE STORAGE fe:->-=IcX. < c-J.
METIIOD OF DISPOSAL OF MANI]RE ()a /<&OW OFTEN
I
IS CORRAI-,?EN AREA ENCLOSED BY FENCING?,rr40
OTHER FARV ANIMALS MAINTANED AT PREMISES? YES
_ IYPE OF FENChIG
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(PLEASE NOTE: POULTRT, HORSES, PONIES, DONKIES REQUIRE SEPARATE LICENSURE)
Town of Yarmouth taxes and liens mus be pardpnor
Please check appropriately ifpaid; Yes y' No
to renewal or issuance ofyour permis.
SIGNA]URE DATE ll,'05{B
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x. Hcalth -
- Division
PLEASE COMPLETE ALL OUESTIONS
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IT IIEW APPLICATION, PLEASE AITACH A COPY OT' PLOT PI,ITI\I SHOWING II)T TINTS AIYD UrcATION Otr STABLE,
PDN, ETC., A}ID AII ENCI,OSURDS. AISO, A WRITTf,N LETTER OR STATEMENT, SIGIIED BY ALL ABUTIERS TO
PROPERTY.
THE CONI]IIO\\I'EALTH OF IVIASSACHUSETTS
TO\1N OF YARNIOTITH
BOARD OF HEALTH
PERMIT NUMBER: #09-001 FEE: 530.00
I -8 animals
This is to Certifr lhat Charl Bilezikian
88 Mill Lane- Yarmouth ort MA 026 75
IS HEREBY GRANTED A LICENSE
For STARI ING F . TWO GOATS ISFASON AI I AT AROVF ADDRFSS
GRANTED IN ACCORDANCF, WITH PROVISIONS OF
PLEASE ST I,ICE){SE O\ PRENIIS s.
rit is srarrcd iul)acenlber {tr rr ith Arricle VIiutless sooncr stt o[th9 lanita4 ( o{c ol l he ( outrtouN calth ol llassachtrsens. and
Sp!'nOeO Ot rC\l)l(CO.
BOARD OF }I!-At- I H CUn S Aak, fl ."V., ehoiman
ehukd iL gkllihoq'Diu QAahman
94lq^t g. fi,sun, Qlsfr
&nn Qaunfraun, fr..,V.
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Dircctor ol
IT,IASSACHUSETTS GENERAL LAWS-CHAPTER I I I-SECTIONS I55 AND 3I.
Decenrber 17. l(X)8