HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 20071146 ROUTE 28 SOUTH YARMOUTH MASSAC}IUSE'ITS 02 51Nov 2 7 2006
Telephone (508) 39&2231, Ext.241 - Fax (508) 76U3472
BOARD OT HEALTH PI
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TO\r'N OF
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YARMOUT
HOMETEL.NO.3[A L
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APPLICATION f,'OR OPf,RATION - 2OO7
STABLE ett
qqi,
55
PLEASE COMPLETE ALL OI]ESTIONS
NAME c lln.'It .63,.Jt =-r L, r J
STABLEADDRESs ?V )\tll '{
MAILING ADDRESS (tr D IFFEREI\TT)
FMERGENCY CONTACT (NArv{F/PHoNE#) TR sorl Ls rle -/lrr ?.r IR
VETERINARIAN (NAME/PHONE #)
TOTAL NUMBER OF HoRSES/?ONIEs \f - I ToTAL NUMBER OF STALLS 6
PLEASE LIST EACH HORSE/PONY/DONKEY/COW SEPARATELY
TYPE OF S]'ABLE/STIELTER
(wooD,ETC,)WATERTROI'GHS LNUMBER OT- HOSE BIB WATER OUTLETS )-DRAINS }
TYPE OF FAC]LIT Y USED FOR MANIJRE STORAGE
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$!.',tr..F
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METIIOD OF MANURL DISPOSAL \\,\:.t }'REQUINCY
CORRAUPEN AREA ENCLOSED BY wH/.]'TYPti oF- !'ENCING'1
OTHER FARM ANIMALS MAINTAINED AT PREMISES? YES
(PLEASE NqTE: P)ULTRy, SWINE, SHEEP, CATTLE' C'OATS REQUIRE SEPARATE LICENSURE.)
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\/ No
3
DATE I
Itr' NEW APPLICATION, PLEASE AITACH A COPY OF PLOT PI,AN SHOWING LOT
LINES AIID LOCATION Of'STABLE, PEN, ETC., AND ALL ENCLOSURES. AI-SO, A
WNTTTNX LNTT:SR OR STATEMENT, SIGNED BY ALL ABUTTERS TO PROPERTY.
Town of Yarrnouth tares and liens musl be pai{prior-to renewal or issuance ofyour permits
Piease check appropriately ifpaid: Yes-l No-
RENEWAI,
NEW APPLICATION.
JSIGNATTIRE
AIiInWqL NAIvflj (tr' APP1.[CABI.E)E h6 0 i\r-}{ r ttr., -Str -l. rttr r t,\C-- t \.r
D,'rY ir-...(*u hrt r l.^r\i l.\,. 1
# YEARS OWNED t'1 I \\,t r)-l1 7
COLOR I-At- .-\l"rt.D.rt r \r Rl"r-u
SEX M F F F
DATE OF RABIES VACCINATION A/l?/c\(( / I 7/t\ (t / 11 lnt 6 lD t"((/t1l0(
DATE OF EEE VACCINATION ri ri t a e 6 / li t^(-(lti t o'i ( I (> ror (l lztrt
DATE OF O[{ER VACCINATIONS i'l rr 7 ","
(l\1 )6(I I 17l ot (lr>tir
Ff,ES: STABLE & I HORSE $25.00 (+ $5 00 each additional horse./animal)ToTALDUE:$ 55.
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PERMIT NLMBER
THE COMMONWEALTII OF MASSACHUSETTS
TOWNOFYARMOUTE
BOARD OFIIEALTII: #07-001 FEE: $55.00
This is to Ccrtrto that Charles Bilezikian
88 Mill Lane. Y .MA
IS HERtrBY GRANTtr,D A LICENSE
For STABLING OF - 5 MINIATURE HORSES 1 COW (SFASONAT ). I DONKFY
AT ABOVE SS. GRANTED IN ACCORDANCE WITH ROVTSIONS OF
MASSACHUSETTS GENERAL LAWS l I I.SECTIONS 155 AND 31
PLEASE POST LICENSE ON PREMISES.
this.Anicle V[ oft]re Sanitarv Codesooner suspcndcd or reVokcd.
of Thc Commonweahh ofMassachusctts, and
Bet iaai.,5. qo,rlor., ,1.5,, eh,ato4a&l* Sl,.L, RJV., Ut* &-a^.-
Aabl4. Brotn4 ebA
Qalal& lfobe:vte
Januarv 19, 2007 BOARD OF ItrAL'TTI
Aru,RJV.
Dircclor of