HomeMy WebLinkAboutApplication and InspectionTOWN OF YARMOUTH
HEALTH DEPARTMENT
POULTRY LICENSE APPLICATION
FEE: l-9 CHICKENS $30.00
>10 cHIcKENS $40.00
ROOSTER ISPECIAL A?PROVAL REQUIR-ED BY BOATID OF HEA-LTH)tr .
No RoosrER/ 7.,/
RENEWALE/
NEW APPLICATIONtr
If this is a new application, please attach a copy ofyour properties plot plan showing lot lines and location of
stable, pen, and all enclosures. Also, a written letter or statement signed by all abutters to the property must be
included with this application.
PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PER.IIISSION OF THE
s[-arn.N ME
(R ?1., A" [-e La-4eoonpss )
MAILING ADDRESS (IF DIFFERENT)
EMAIL ADDRESS
L.l .--.^. ,- o-D foe *o bott.',nclr,,'-...(",-PHONE #'t1 ?-???-sSEL
# OF FOWL 5
# OF PENS/COOPS I
# OF ROOSTERS (./
TYPE OF SHELTER (WOOD, CONCRETE, ETC,)
l. ,.-o c'-(
SIZE OF YARD/PEN AREA/,:? ,l / b
tl,4 03 # OF WATER TROUGHSI
RAGE FACILITY USED FOR FEED/GRAtN 1 F^xlc^ta-< €o
TYPE OF ST ;L
TYPE OF STORACE FACILITY USED FOR MANURE
Cc,-r,2 r,\ k
METH0D oF otsposelror rraaNun-eb,ixD HOW OFTEN?3x V Gr/\-
G?PEN AREA ENCLOS D BY WHAT TYPE OF FENIC)
Thc Town of Yarmouth taxes and liens must be paid prior to renewal or the issuance ofyour licenses
Please check if appropriately paid: YDS tl NO tr c p.# I33'\
All licenses shall expire on December 3l't. This license must be renewed A_l\,lNUALLy.
SIGNATURE OF APPLICANT /-2-Joe a
LICENSE
DATE
0
-l t
HEALTH DEPART}IENT
# OF WATER OUTLETS
I
,II
I
Town of Yarmouth, MA
lnspection Report
POULTRY
OverallResult:Pass
Overall Remarks:
3 Chickens
Checklist:
DO ANIMALS LISTED APPEAR TO BE FREE FROM CONTAGIOUS
DISEASE?
Result: Pass
Remarks:
Yes
ARE ACCOMODATIONS ADEQUATE WITH REFERENCE TO
SITUATION, CLEANLINESS, LIGHT, VENTILATION AND WATER
SUPPLY?
Result: Pass
Remarks:
lnspection: Health lnspection
lnspector: Phil Renaud
lnspection Date: Jan 2,2C26
Record: Pouftry License #BOPL-24:7
Location:18 PINNACLE LN, YARMOUTH PORT, MA 02675
Applicant: Douglas Sherman
Yes Neat, clean, light, ventilated, feed, and water Looks Good
1
CHICKENS
Result: Pass
Remarks:
3 Chickens
2
TURKEYS
Result: Not Observed
I Remarks:
! N/A
3
RATITES (OSTRICH, EMU)
Result: Not Observed
Remarks:
N/A
WATERFOWL
4
Result: Not Observed
Remarks:
N/A
5
GAMEBIRDS
Result: Not Observed
Remarks:
N/A
ER
6
OTH
Result: Not Observed
Remarks:
N/A
MGL Ch 129 sec 268
EREALD
Result: Pass
Remarks:
Personal use only not a dealer.
I
Requires BOH Approval
Rooster
Result: Pass
Remarks:
No Roosters need BOH approval.