HomeMy WebLinkAboutSTABLE APPLICATION&LICENSE - 2008o TOW'N OF
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YARMOUTH
I146 ROI]TE 2l-i tioul tl YARMOUTH MASSACHUSETTS 0266i14451
Telepbone (508) 398-2231, Ext.241 - Fax (508) 76G3472
BOARD OF HEALTH
APPLICATION X'OR OPERATION - 2OO8
STABLE
*
NAME C*tail*t-: B;lea'Uctrt
o
^1J*\o'4-5Sec-sanq-ltztrl<cyst+q - bcr
soprg rrl. No. 50 -36 -67&3
STABLE ADDRESS Mitl Or'\A.-o
MAILING ADDRESS (IF DIFFERENT)
IiMERGENCY CONTACT (NAME/PHONE #
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'ETERINARIAN(NAME/,H.NE#)
Dr t-eah
TorAr NUMBER oF HoRSES/roNIE s 5- I rorAr- NUMBER oF sTALLS 6
PLI.]ASE LISI' EACH HORSFTPONY/DONKEY/COW SEPARATELY
/e o C J
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Mo*ta*'ANIMAI NAME (IF APPLICABLE)fuctlv6tl C y'teJ Sect
BREED fhini i'htrl lhin,fT-\, hi r-Y1 i,-.,
"# YEARS OWNED 6 GVlac-E-8lo,-.x:lCOLOR Bicsak-BczcE-rSEX l=F t=t I It o lc1)/)/J6lo1DATE OF RABIES VACCINATION /2/ao/o-7 la-,/J)/oi
DATE OF EEE VACCINATION -lI t tt'i c.f//i )7 C,'/ / / o-7 6/t /o-7 67 / /b'-7'
DATE OF O1] IF]R VACCINATIONS
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Erta/.x/s6l/o7'
TYPE OF STABLE/SIIELTER Wod
(\r'ooD. coNCRETI. ETC L
t{r-n4BER OF HOSE Bts WATER OUTIETS .,1.-DRAI}iS J- WATERTROUGHS
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN rY^efu1 SID 'b rh
TYPE OF FACII-ITY USED FOR MAr\URE STORAGE
METH.D oF M.a-Nr-rRE DrsPosAL 8 , f f EPE.lIIENT'V
CORRAL/PEN AREA ENCLOSED BY WHAT T\?E OF IENCII{G?e le tC.
OI'HER FARM ANIN4ALS MAINTAINED AT PREMISES? YES n-O
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(PLEASE NOTE: POL'LTR\', SrINE, SHEEP, CATTLE, GOATS REQUIRE SEPARATE LlCr :SLrtE .)
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NEW APPLICATION - IF N:f,W APPLICATION, PLEASE ATTACH A COPY OT PLOT PLAN SIIO1YING LOT
LII\I'ES AND LOCATION Of STABLE, PEN, ETC., AIiD AIL ENCLOSURIS. ALSO. A
IVRITTEN LETTER OR STATE}IENT. SIGNED BY ALL ABUTIERS TO PROPERTY,
Town of Yarmouth taxes and liens must be paid pri6r to renewa.l or issuance ofyour permits
Please check appropriately ifpaid Yes_141 No
DAlE a <_/o>ISIGNATLIRE
FEES: STABLE & I HORSE $25.00 (+ $5.fi) each
Zool -l DotlK€l) 5 M'lr. po4g6S , 1 cor.:
horse/animal)TOTAL DUE: S 55-oc Priored on
Recycled
Paper
PLEASE COMPLETE ALL OUESTIONS
Rio(
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szE oF coRRAL o*so---$x.9-
TIIE CONIMONWEALTH OF MASSACHUSETTS
TOWNOFYARMOUTH
BOARD OFHEALTH
FEE: 555.00
This is to Certilv that Bilezikian
88 Mill Yarmouthport. MA
IS HEREBY GRANTED A LICENSE
For STABLING OF - 5 MINIATURE HORSES, I COW (SFASONAT ), I nONKFv
AT ABOVE ADDRESS. GRANTED IN CORDANCE WITH PROVISIONS OF
MASSACHUSETTS GENERAL LAWS-CHAPTER lII.SEC TIONS I55 AND 3I.
PLEASE POST LICENSE ON PREMISES.
This.is cranted()dccmbcr Article Y'lBllhf.t$tf"V.[S: of rhe comrnonwealth of Massachusetts' andsoonel
January 17.2008 BOARD OF HEALTH g@e& S&qfr, E-1V., Qfiaixman
eXail.A 5L 1tcllifrz,r, Airz QXabman
fufred g. Euaun,ektft
Qnn $ucnlaum, R..tV.
e
Director of
PERMIT NUMBER: #08-005