FOOD ESTABLISHMENT PERMIT APPLICATION

CODE ENFORCEMENT

Select One.

PERMIT AGREEMENT STATEMENT

In consideration of issuance of this permit I understand and agree to familiarize myself and comply with all laws and ordinances applicable to operation of said business and further agree to permit unrestricted access to an authorized representative of the Environmental Services – Food Safety Division for the purpose of conducting inspections necessary to verify with applicable regulations. I understand that by typing my name I am signing this legal document.
Type your name as your signature.

REQUIRED SUMITTALS

Email required submittals to

*Required fields.