HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 20024oa-oob
TO\TN OF YARMOUTH
r r-i6 RoUTE 28 sOLITII 1'ARr\IOUTH NIASS.A,CHI-SETTS 0266,i-{J5 I
I I]BAB Hffi.ffi'" i.:,,' ;, ;;T';""'
tQ{ qe' d' APPLICATIONSSS?tr*rIoN-2002
RIECiF-IIVfED
l]EC I { 2001
HEALTH DEPT.
PLEASE COMPLETE ALL OUESTIONS
NAME
ADDRESS
N i'N4BER OI. HORSES/?ONIES .r'
BREED OF EACH HORSE 4I
lJluezlEtA$ S HOME TEL. NO
L-4,-)
NUMIiER o! stALLS / NUMBER ot- YEARS owNEt)
()
MAILTNG ADDRESS (IF DIFFERENT)
#4 #5 ,J
o
',
NO. OF YEARS OWNED
REGISTRATION NUMBER
ryPE OF STABLUSHELTER
#I t]2 #3
(wooD, col
NIJMBER OF HOSE BIB WATER OUTLETS
NCRETE, ETC-)3 onerNs
TYPE OF STORAGE FACILTry USED FOR FEED/GRAIN rDeln/
TYPE OF FACILTTY USED FOR MANURE STORAGE
#4 i5
SIZE OF CORRAI AREA
WATER TROUGHS
a/
METHOD OF DISPOSAL OF MANURE HOW OFTEN
OTHER FARM ANIMAIS MAINTAINED AT PREMISES (please indicate numbers)
CORRAL-/PEN AREA ENCLOSED BY WHAT TYPE OF FENCINC?
DATE OF LAST INOCULATION(S)
VETERINARIAN
TYPE(S)
ENCEFI-LA.I-ITIS ,q
RABIES o
, ,,' RENEWAL
NEW APPLICATION .IF NEW APPLICATION, PLEASE ATTACH A COPY OF PLOT PLA-I\ SHOWINC LOT
LINES AND LOCATION OF STABLE, PEN, ETC., AND ALL ENCLOSURES. ALSO' A
WRITTEN LETTER OR STATEMENT, SICNED BY ALL ABUTTERS TO PROPERTY'
Town of Yarmouth taxes and liens must be paidlxi
Please check appropriately ifpaid: Yes_yl or to renewal or issuance ofyour permis.
No
SICNATURT DATE o/
THE FULL ANIMAL/POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S TOTAL.
FEES: /,L srABLE $25 00 (+ $5 00 each additional horse)
Printed on
Recycled
Paper
TOTAL DUE: $o H
0 'v)I .1
n 4^ n /%., #4-JZ--- w-4i
*r2#2?$7
n,^1--,/
THE COMMOITWEALTH OF MASSACHUSETTS
TOW}{OFYARMOUTH
BOARD OF HEALTH
pERMIT NUMBER: #02-006 FEE: $45.00
This is to Certiry that Charles & Doreen Bile
88 Mill Lane. Y MA
IS HEREBY GRANTED A LICENSE
For STABLING OF -5MINIATUREHORSES.I COW. I DONKEY
MASSA ISETTS GF,NERAL LA APTER III.SECTIONS 155 D 3t.
PLEASE I,ICENSE ON PREMIS
This permit is granted in conformity with Article Vl of the Sanitary Code of The Commonwealth of Massachusetts, and
expiies December 3l -2002 unless sooner suspended or revoked.
Februarv 7 ,2002 BOARD OF TIEALTH:e&4*i*. KAlifot Qlaa.'r*
&4iad,t D. Eo.dr". ?lt.D.. ?ac &ad*2.k/ed/. &.04. eba
?andd ?/dcDot*od
7/.
Director of Health