HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 1999sth^t-b q?-q
TOSTN OF YARMOUTH
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BOARD OF HEALI'}'
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APPLICATION FOR OPERATION - 1999
STABLE
HOMI] TEL. NO
REGEOVED
t)EC 2 I 1998
HEALTH DEPT.
e62- 1773PLEASE COMPLETE ALL OUESTIONS
NAI\E FhAR,IES Br LEzt ttt A l)
ADDRESS B8 t-rr tl Znut YNRnou.fX Pop_T o2b15
MAILING ADDRI'SS (IF DIFFERENT)-
NI]MBi.]R OI: I IORSES/PONIES
BREED OF EACH HORSE #1 htil I
NT'MBER OF STAI,I,S 6 N.MBERoFYEARS.*NED 6
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NO.OFYEARSOWNED g 6 L #36 #42#5
REGISTRATION NUI\,IBER #l__ #2 #3 #5
'|YPE oF st'ABLE/sI F).TER uJ 60 nfl,v STZI' OI] CoRRAI tuu.,+N/B
NUMBER OF IIOSE BIB WATER OUTLETS DRAINS d WATER TROUGHS
TYPE OF STORAGE FACILITYUSEDFoRFEED/GRAIN A ETA L
TYPI] OF FACII,ITY USED FOR MANURE sroRAop. Reh ou cd D a r t Y
METHOD OF DISPOsAL oF MANURE Co n Pos-t € D oSS S tTE :rlctwonrcN 7i/1
OTHER FARM ANIMALS MAINTAINED AT PREMISES (please indioate numbers)C6ur 5 ht st,ecPlz) GyAT(//
DaN ICEV I
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DR. 4EAch ENcEPT{ALrrrs fiuo z{
RABES-4O6-?-,,--e-
RENEWAL
NEW APPI-ICATION -IF NEW APPLICATION, PLEASE ATTACH A CO]PY OF PLOT PLAIT SHOWING LOT
LINES A}'D LOCATION OF STABLE, PEN, ETC., A}{D ALL ENCLOSURES. AI-SO, A
WRITTEN LETTER OR STATEMENT, SIGIYED BY ALL ABUTTERS TO PROPERTY.
To\ru of Yarmouth taxes and liens must be peid Irior to renewal or issuanoe ofvou permits.
Please check appropriatek if paid: Yes X2l No-
-
SIGNA'TLIRE DATI]
TIIE FULL ANIMAI./POULTRY COUI{T IS NOT TO EXCEED TI{D AMOUNT OF P]UOR YEAR'S TOTAL
FEf,Sr _STABLE 525.00 (+ $5.00 each additional horse)
Printed on
Recl'cied
PaoerL*l
coRRAL/pEN AREA ENCLosED By wHAT TYPE oF F nNctttct tu oo d r/ E le eT 2 t c
DArE oF LAST INNocuLArIoN(s)Lw w61 A l/
ToTALDUE: s ?b, OO
THE COMMONWEALTII OF MASSACHUSETTS
TOWN OFYARMOUTH
BOARD OF HEALTH
FEE: $40.00
'[his is to Ccrtil]
This Dermit is Eanted in oonformity with Artiole vI of the Saaitary code of The commonwoalth of Massaohusetts' and
"ipii". tli".Uo I t . tggg udess sooner susPetrded or revoked
l-ebruary 25 , le JA BoARD oF IIEALTH: tJ 7/1 3'a" CL"*"
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Bruce G. Murph-v.
Director of Hcalth
MPH.S.. CHU
PERMIT NUMBER, 99-4
IS HEREBY GRANTED A LICENSE
For STABLING oF - a MINIATURE HoRsES- 2 cgWS' 2 stlEEl.t 994L^!P=orNKEYM ACCqEq4NCE WITH.!E9Y.I!IQt$ ^OFS-cnapren ttt-secrtoNs tss nxo rt
PLEASE POST LICENSE ON PREMISES.