Farmers Market Permit Application
If application is not submitted 10 business days prior to event, you may be required to come to the health department during normal business hours. PLEASE NOTE: Filling out this application does NOT guarantee you permission to operate. You MUST contact the Platte County Health Department and schedule an inspection in order to complete this application process.
Person in Charge
*
Establishment Name
*
Address for Person in Charge
*
Mailing Address
Street Address Line 2
City
State
Zip
Email Address
*
example@example.com
Phone Number
*
Market Name
*
Market Location Street Address/Nearest Intersection
*
Dates
*
Operating Times
*
Will any food be prepared before the event?
*
Yes
No
Do you have a commissary?
*
Yes
No
If yes to having a commissary, please upload commissary agreement, permit and copy of most recent inspection here:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Items Sold/Sampled
*
By signing this application you agree to the Platte County Missouri Government Ordinances Chapter 230: Food Service Establishments and Retail Food Establishments and Missouri Food Code. The Platte County Food Protection Ordinance can be found at plattecountyhealthdept.com.
*
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Permit Fee
*
prev
next
( X )
Permit Fee
$25.00
$
25.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
Should be Empty: