HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 2000r
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TOWN OF YARMOUT
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BOARD OF
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HEALTH
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HEALTH DEPT.
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APPLICATION FOR OPERATION - 2OOO
STABLE
PLEASE COMPLETE ALL OUESTIONS 'k)
HoMErEL.No. 367'O if 3 1
NAME Totlee u fl,leltKtnv
ADDRESS B? ntl itp"Wtaoi'l^ Potl s1A ozi?t
MAILING ADDRESS (IF DIFFERENT
BREED oF EACH HoRSE #t /1 ) l'/ )
NUMBER OF STALLS
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NO. OF YEARS OWNED
REGISTRATION NUMBER
TYPE OF STABLE/SHELTER
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NUMBER OF HOSE BIB WATER OUTLETS "2_
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DRAINS r'WATER TROI]GHS au,roo] EtftlJ
rypE oF sroRAcE FACILIry usED FoR FEED/ cs,ArN H e-TAi r!/e s c/
TYPE OF FACILITY USED FOR MANURE STORAGE l/atu<'
6St 5t)c-uow oprrl 'D'{,'/.,.MI]THOD OF DISPOSAL OF MANURE
OTI'IER FARM ANIMALS MAINTAINED AT PREMISES (please indicate numbers)GoiT rJ ,/t '
CoRRAL/PEN AREA ENcLoSED BY WHAT TYPE OF FENCING? Tu OO/e/e c.
DATE OF LAST INNOCULATION(S)
NARTAN DZ ielcrl
V-,Lv 77 TYPE(s)il
uurT ENCEPHALITIS
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IF NEW APPLICATION, PLEASE ATTACH A COPY OF PLOT PLAN SHOWING LOT
LINES AND LOCATION OF STABLE, PEN, ETC., AND ALL ENCLOSURES. ALSO, A
WRITTEN LETTER OR STATEMENT. SIGNED BY ALL ABUTTER.S TO PROPERTY,
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RENEWAL
NEW APPLICATION -
Town ofYarmouth laxes and liens must be paidprior to renewal or issuance ofyour permits
Please check appropriately ifpaid: Yesy' No_
THE FULL ANIMAL/POULTRY
FEES: / sreete
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UNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
Pnnted oo
Rerycled
Paper
TOTAL DUE: S 40,(b
$25.00 (+ $5.00 each additional horse)
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NUMBER OF HORSES/PONIES /NUMBER oF venns owreo /,
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srcNaruan $,,..- R k!,."; .
THE COMMONWE,ALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BOARD OF HEALTH
FEE: $40.00
This is to Certify that Doreen Bilezikian
8 Mill l.ane. Y outhnort. MA
IS HEREBY CRANTED A LICENSE
PI,F:,ASE POST I,ICf,:,NSR, ON P F"MISR,S.
1'his permit is granted in conformity with Article Vl of the Sanitary Code of The Commonwealth of Massachusetts, and
expiies Deiember 3l - 2000 unless sooner suspended or revoked.
December 7 , 19 99 BoARD oF HEALTH: tl Wl. 1at", Cl''u*"
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F"l"t 3. B-,,,,,, CL.t( J,* lL -9" t J,l, y - H *p",
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rucc urp v.Director of I lealth
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PERMT| NLiMBER: Y2K-2
For STABLING OF - 4 MINIATURE HORSES- I GOAT. I DONKEY , , ,., -ar asovE AppRESs. CnANrso IN eCCOnOaNCS wrTu pnovJqtq\li 9r
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