HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 2003#os -ca {
TO\rN OF YARMOrffiful
I 146 ROLITE 28 SOLTTH YARMOLTTH
Tele'phone (iotl) 398-2231, Ext. 2i! I
MASSACHT]SETTS 02664.41i1
- Fax (508) 398-234)i i
IHEALTH I
,brnfl(
BOARD OF
APPLICATION FOR OPERATION - 2OO3
STABLE
NAME HOME TEL. NO 3b?- b1,23
il0
lntnl #4 m , ly',,#5 lh)n i
#5
#4 #5
ADDRESS '& rn,ti Leno
BREED OF EACH HORSE #l l'lt r n t
No.oFYEARsowNED #r lo
o ,l
MAILING ADDRESS (IF DtrTENENT)
r.rUMBSn Or STALLS 6
#2 trt tn I #3
#2 /O #3 443
#3REGISTRATION NUMBER #I
TYPE OF STAB LEISHELTER
NUMBER OF HOSE BIB WATER OUTLETS
CRETE. ETC.)A DRAINS 6
TYPE OF STORACE FACILIry USED FOR FEED/GRAIN mela/
TYPE oF FACILITY UsED FoR MANURE STORAGE Re,,-ecJ rt
METHOD OF DISPOSAL OF MANURE d ?OW OFTEN
OIHER FARM ANIMALS MAINTAINED AT PREMISES (please indicate numbers)r 0 f1
CORRAI,/PEN AREA ENCLOSED B WHAT ryPE OF FENCING?5 sl + 3ai/
DATE OF LAST INOCUI-ATION(S)
-.
NEW APPLICATION .
4f
Jo TYPE(S 7
Leao eNcppnaurts /'
RABIES ,".-,-
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 ABUTTERS TO PROPERTY.
Town ofYarmouth taxes and liens must be paid pr4or to renewal or issuance ofyour permits
Please check appropriately ifpaid: Yes, _yl No
SIGNATURE DArE /d
THE FULL ANIMAI./POULTRY COUNT IS NOT TO EXCEED THE AMOUNT OF PRIOR YEAR'S AL.
f.EES:SI'ABLE
Printed on
Recycled
Paper
TOTAL DUE: S 15 oo
$25.00 (+ $5.00 each additional horse)
R
DEC
PLEASE COMPLETE ALL OUESIIONS
NUMBER OF HORSPS,ryOLTMS 5 NUMBER OF YEARS OWNED
slzE oF coRRAL AREA___|5X_.!-5__
wATER TRouGHs O
RENEWAT-
THE COMMOIYWEALTH OF MASSACHUSETTS
TOWNOFYARMOUTE
BOARD OX'HEALTH
PERMT NUMBER: #03-005 FEE: $45.00
This is to Certiry that les Bilezikian
88 Mill I-ans. Yarmo MA
' IS HEREBY GRANTED A LICENSE
For STABLING OF -5MIMATUREHO I COW. I DONKEY
AT ABO ADDRESS. GRANTEDIN A}ICE WITH PROVISI ONS OF
MASS S GENERAL 11I-SECTIONS I55 31.
PLE,ASE ST LICENSE ON
This oermit is cranted b conftmity with Article VI of thp Sanitary Qo{e of The Commonwealth of Massachus€tts, and
expit€s ____D@E!9dl-.2qql-unless sooner suspended or revokeo'
Januarv 2E 2003 BOARDOFIIEALTH: fu*a?. Keabt, Qlaaaa't
"<*ia*r,,
D. Eali.,1t.O., Otu &aa,taat?e,r7. e$u. ebl
?ah44?/lDo,,,,e
Slal. R.?L
Director of