• Temporary Food Establishment Permit

    Please complete the questions below.
  • Address of Business or Person Applying for permit*
  • *
  • Are all foods from an approved source? (approved sources include permitted markets, wholefood suppliers, commercial food suppliers) (No canned foods permitted or non approved USDA meat.)*
  • Will all time temperature controlled foods including meats, dairy products, poultry and other related foods be cooked at the correct temperatures?*
  • Please check each box if all the standards apply.*
  • I will "bare no hand contact" with food. I will use gloves, deli paper, tongs, or other utensils to handle food. The public will NOT serve themselves food from a communal container such as bags of buns, bags of chips with their hands. This is help prevent bare use of hands. Click "yes" if you can comply or "no" if not.*
  • Does at least 1 person have a current food handler's card? If only one food handlers permit present then that individual must supervise all workers handling food. Food handler's card MUST be present at location.*
  • To have a clean handwashing station and adequate water supply please read the following. Please check if you comply with the following.*
  • The booth or area will be constructed in order to minimize the entrance of flies, vermin, dust and any other form of contamination. The cooking area will be restricted for the public's protection.*
  • I will NOT store plastic utensils, paper plates, napkins, or other single serve items on the floor/ground.*
  • I agree that all condiments (ketchup, mustard, sugar, salt, etc.) will come from individually wrapped, pour, pump, or squeezer container.*
  • I agree that all garbage will be properly bagged prior to discarding into a main refuse/garbage container.*
  • Ice will be dispensed from an approved container using a handle scoop.*
  • Will all food will be cooked to these temperatures and times from the above table?

  • Temporary Food Establishment Permit (please choose category 1 or category 2, read the descriptions below)*

    prevnext( X )
    Category 1. (food that requires NO serving time/temperature) Examples include: candy, soda, cotton candy.
    Category 1

    (food that requires NO serving time/temperature) Examples include: candy, soda, cotton candy.

    $20.00$20.00
      
    Category 2. (food that requires serving time/temperature) Examples include: cooked food, hot dogs, chicken, hamburgers, etc.
    Category 2

    (food that requires serving time/temperature) Examples include: cooked food, hot dogs, chicken, hamburgers, etc.

    $150.00$150.00
      

    Credit Card

  • Should be Empty: