INSCRIPTION DE POULAILLERS
Nom du propriétaire: _______________________ Poulailler n°: ______________________
Adresse de la ferme: _______________________ Cadastre: ___________________________
Localité: __________________________________ Lot n°: _____________________________
Code postal: _______________________________ Circonscription foncière: ___________
Téléphone: _________________________________ Nature de la production: ____________
Longueur du poulailler Largeur du poulailler Surface totale
1er étage: _______________m2 _______________m2 _______________m2
2e étage: ________________m2 _______________m2 _______________m2
3e étage: ________________m2 _______________m2 _______________m2
4e étage: ________________m2 _______________m2 _______________m2
Total brut: _______________m2
Soustraire
escaliers, etc ____________m2
Total net: ________________m2
REMARQUES:
_________________________________________________________________________________
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
|_________________________________________________________________________________|
____________________________________ ____________________________________
Enquêteur des Éleveurs de Producteur
volailles du Québec
Date:_______________________________