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TOWN OF YARMOUTH
HEALTH DEPARTMENT
POULTRY LICENSE APPLICATION
2026JAN
FEE: 1-9 CIIICKENS $30.00
>10 cHIcKENS S40.00
If this is a new application, please attach a copy ofyour properties plot plan showing lot lines and location of
stable, pen, and all enclosures. Also, a written letter or statement signed by all abutters to the property must be
included with this application.
PLEASE DO NOT I}ICREASE THE NUMB ER OF FOWI, \I'ITHOUT PRIOR PER}IISSION OF THE
Lucnq o uLrwNAME
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MAILING ADDRESS (IFbIFFERENT)
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PHONE #6o$ 3bU5o?5-
# OF FOWL l'1
# OF PENS/COOPS '7
# OT' ROOSTERS t)
TYPE OF S}TELTER (WOOD, CONCRETE. ETC,),t-4oJ SIZE OF YARD/PEN AREA
# OF WATER OUTLETS (
k'<# OF WATER TROUGHS
3
TYPE OF STORAGE FACILITY USED FOR FEEDlGR4IN L
TYPE OF STORAGE FACILITY USED FOR MANURE
,"re4*l
METHOD OF DISPOSAL OF MANURE Lv 4/1 ./o^HOW OFT
PEN AREA ENCLOSED BY WHAT TYPE OF FENCIN C?
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The Town of Yarmouth taxes and liens must be paid prior to renewal or the issuance ofyour licenses
Please check if appropriately paid: YES E/NO E
All licenses shall expire on December 3l't. This license must be renewed ANNUALLY.
SIGNATURE OF APPLICANT
LICENSE gofL )Q _r..t
DATE ,d1
RooSTER (SPECIAL APPRoVAL REQUIRED BY BoARD oF HEAL"IIJIE ./.xo noosrtn fr-l
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NEW APPLICATIONE]
EMAIL ADDRESS
HEALTH DEPARTi\IENI'
12 ALIJO DR, WESI
YAR MO UTH,-I4A
42073
F
Applicant
Lucan Colquhoun ,'
Expiration Date
Oec 3l2O24 a
Workflow
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Proiect Record Status
Complete
Actions -
BOPL-24-14
D€tails
(/#/explore/records/7939ss/details)Attachments o (/#/explore/records/79395s/fi
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Paid Oct 24. 2424 at 1.--Applicanf ! Malling Address**""*"7 =reer'=
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Completed Oct 2...@
g R.o.r.l Applic.liong
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lssued Oct 28,2024 at..-
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EmailAddress'
Mailing Strelt Address (il difforent)
Poultry and Facility lnformation
4&,CJ4^9
Applicint Phon. #
508-360-5095
, Edir
A l{ew Applic.tion
tr
g Expiration Dale'
lf New Application Please Attach A Copy of Stable, Pen, Etc. and all
Enclosures. Also, A written Letter or Slatement, Signed By All Abutters to
Property-
Applicant l,lame'
Address (where bhds will b€ k€ptl. Streel, City,
Stato, ZIP
Mailing CE, Slate. Zip (itdifiercnt)
) Edit
ROOSTERS REQUIRE SPECIAL APPROVAL BY THE BOARD OF HEALTH
DO NOT INCREASE THE NUMBER OF FOWL WTHOUT PRIOR
PERMISSION OF THE HEALTH DEPARTMENT
20
Number ofP€ns/Coop€'
2
/
@
Details
Applicant's Mailing Address
Renewal Application New Application
Expiration Date-
12t3',U2026
lf New Application Please Attach A Copy of Stable, Pen, Etc. and all Enclosures. Also, A written Letter
or Statement, Signed By All Abutters to Property.
II
Applicant Name'
Lucan Colquhoun
EmailAddress*
colquhou nluke@yahoo.com
Applicant Phone #*
508-360-5095
Address (where birds will be kept) - Street, City, State, ZIP
l2ALIJO DR, WESTYARMOUTH, MA02673
Mailing Street Address (if different)Mailing City, State, Zip (if different)
Poultry and Facility lnformation
ROOSTERS REQUIRE SPECIAL APPROVAL BY THE BOARD OF HEALTH
DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF THE HEALTH
DEPARTMENT
Number of Fowl*
'19
Type of Shelter (Wood, Concrete, Etc)*
Wood
Number of Water Outletst
3
Type of Facility Used for Feed/Grain"
Steel (2)
Method of Disposal of Manure*
Compost
Pen Area is Enclosed by What Type of Fencing*
WireMood
Conditions
10 Chickens
No Roosters
8 Pigeons
Number of Pens/Coops*
2
Size of Yard/Pen Area
12x12
Number of Water Troughs*
3
Type of Facility Used for Manure Storage*
Metal
How Often is Manure Removed*
As needed
Acknowledgement
The Town of Yarmouth taxes and liens must be paid prior to
renewal or the issuance any license. Are your taxes / liens
paid?-
Yes
All such licenses shall expire on December 31st unless othenvise revoked or suspended. This license
must be renewed ANNUALLY.
Click here to view the Town of Yarmouth Poultry Regulations
I have read and understand the requirements to obtain a Poultry
License in the Town of Yarmouth
No signature
Town of Yarmouth, MA
lnspection: Health lnspection
lnspector: Phil Renaud
lnspection Date: Jan 2,2C26
Record: Poultry Licens e #BOPL-24-14
Location: t2 ALIJO DR, WEST YARMOUTH, MA 02673
Applicant: Lucan Colquhoun
POULTRY
OverallResult:Pass
Overall Remarks:
'lO Chickens
No Roosters
8 Pigeons
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
lnspection Report
Remarks:
Yes Neat and clean Light, ventilation, feed and water ok
1
CHICKENS
Result: Pass
Rema rks:
1O Chickens
2
TURKEYS
Result: Not Observed
Remarks:
NiA
3
RATITES (OSTRICH, EMU)
Result: Not Observed
Remarks:
N/A
4
WATERFOWL
Result: Not Observed
Remarks:
N/A
5
GAMEBIRDS
Result: Not Observed
Rem a rks:
N/A
6
OTHER
Result: Pass
Remarks:
B Pigeons
MGL Ch 129 sec 268
DEALER
Result: Pass
Remarks:
Not a dealer, personal use only.
Requires BOH Approval
Rooster
Result: Pass
Remarks:
No roosters, need BOH approval