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:
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_______________________________________________ ______________________________
Enquêteur des Éleveurs Producteur
Date: _____________________________