HomeMy WebLinkAboutSHEEP,SWINE,GOAT APPLICATION & LICENSE - 2008o
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TOST"N OF YARMOUT
I 146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 0266
Telephone (508) 39&2231, Ext.241 - Fax (508) 76G3472
BOARD OF HEALTH
APPLICATION FOR OPERATION - 2OO8
SWINE/SHEEP/GOATS
Charlec Bilez i k-'o-r'>HOME TEL. NO.
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THEALTH Dcr ;
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FEE: $25.00V Rene*al
-New Application
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ADDRESS 8M;Lq otmou-ll
EMERGENCY CONTACT (NAME/PHONE #)
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MAtrING ADDRESS (tF DIFFERENT)
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VETERINARIAN (NAME,?HONE #)D t<<l--.
TOTAI I.{L'N4BER OF ANMALS a
PLEASE LIST EACH SWINE/SHEEPIGOAT SEPARATELY
ANIMAL NAME (IF APPLICABLE)Qoa-f aoct*--4+e-BREED )I
# YEARS OWNED .^dl nt1 (t r';.../
COLOR .9Ot' ,--(
SEX <<,L Ee a)
DATE OT R BIIS VACCINATION ,nO
DATI OF EEE VACCINATION r),-
DATE OF OTHER VACCINATIONS
TypE oF sTABLE/sSELrER Caod-SIZE OF' CORRAL AREA g^8
(WOOD, CONCRETE, ETC.)
TYPE OF STORAGE FACILITY USED FORFEED/GRAIN rnelo-4 e-,bin
TYPE OF FACILITY USED FOR MANURE STORAGE_-
METHOD OF DISPOSAL OF MANURE D.fc,HowoFTEN d-
IS CORRAL/PEN AREA ENCLoSED BY FENCIA-G? nt y("TYPE OF FENCING
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Town of Yarmouth taxes and liens must be paid pnidr to renewal or issrance ofyour permis
Please check appropriately ifpald: Yes t/ No-
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LASIGNATUREDATEZ
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PLEASE COMPLETE ALL OUEST]ONS
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OTHERFARMANMALSMAIN'TAINEDATPRIMISES? "',/*O-
@LEASE NOTE: POULTRY, HORSES' PONES, IX)NKIES REQUIRE SEPARATE LICENSURE.)
II'NEW APPLICATION,PLEASEATTACHACOPYOFPLOTPLAI{SHOWINGIOTLII\{ESANDI'CATIONOFSTADIJ'
pEN, ETC., AttD ALL ENCLOSURES. AISO, A WRITTEN LETTER OR STATEMENT, SIGFIED BY ALL ABUTTERS TO
PROPERTY.
THf, COMMONWEALTH OF MASSACHUSf,TTS
TOWNOFYARMOUTH
BOARD OF nr',41111
PERMIT NUMBER: #08-002 FEE: $25.00
This is to Cenill that Charles Bilezikian
88 Mill Lane, Yarmouthoort- MA 02675
IS HEREBY GRANTED A LICENSE
GR ANTF,D IN ACCORDANCE WTTT{OVISIONS OF
PLEASE POST CENSE ON PREMISES.
H'f,r'T5g"mg9'5f9orostg't#il.,Y,Lif.mtanitarrofofe ofrhe Commonwealth ofMassachusetts' and
.lanuary 7 .2008 BOARD OF HEALTH Eenfunn 9. qotfun, J,1.0., efraimang&kn Sftaft , fr.-lV., A ue eftaiuunRolqt0-Bwan,eb&
?abtufr"$kfleinsa
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Director ofH
For STARI ING OF -TWO(2)GOATS AT AROVE AnDRFSS
MASSACHUSEMS GENERAL LAWS-CHAPTER I I I-SECTIONS 155 AND 3 1.