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Maricopa

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Micro Market Permit Application

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Follow all instructions below to avoid delays in the application review process.
Application Steps
1. Fill out and submit your application .
2. Our office will review the application, assess fees, and coordinate an onsite inspection.
3. Once qualified for a permit, pay permit fees (online, in person, over the phone, fax, or by mail).

Checklist for review

lease provide the permit # if the same owner and equipment was previously approved.

List of all locations where micro markets will be located. *Please provide address and specific location where market is located (e.g. floor, suite, room, etc.), location contact name and email, and mop sink location. Please upload to the cloud drive (instructions below) if file size exceeds 20MB.

Proposed menu/items provided in machines. *Please provide menu(s). Please upload to the cloud drive (instructions below) if file size exceeds 20MB.

Equipment cut sheets/schematics *Please provide equipment cut sheets for all equipment to be installed. Please upload to the cloud drive (instructions below) if file size exceeds 20MB.

Electronic Delivery of Plans/Supporting Documentation *Deliver hard copy to the Department if not able to attach here or in the cloud drive (instructions provided below). Please provide the layout and plumbing/finish schedule for all projects involving construction/review. Please be advised that the documents must be legible to avoid delays in the review process.

ARS § 11-1604. Prohibited acts by county and employees; enforcement; notice A county shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule, ordinance or delegation agreement. A general grant of authority does not constitute a basis for imposing a licensing requirement or condition unless the authority specifically authorizes the requirement or condition. Unless specifically authorized, a county shall avoid duplication of other laws that do not enhance regulatory clarity and shall avoid dual permitting to the maximum extent practicable. This section does not prohibit county flexibility to issue licenses or adopt ordinances or codes. A county shall not request or initiate discussions with a person about waiving that person's rights. THIS SECTION MAY BE ENFORCED IN A PRIVATE CIVIL ACTION AND RELIEF MAY BE AWARDED AGAINST A COUNTY. THE COURT MAY AWARD REASONABLE ATTORNEY FEES, DAMAGES AND ALL FEES ASSOCIATED WITH THE LICENSE APPLICATION TO A PARTY THAT PREVAILS IN AN ACTION AGAINST A COUNTY FOR A VIOLATION OF THIS SECTION. A COUNTY EMPLOYEE MAY NOT INTENTIONALLY OR KNOWINGLY VIOLATE THIS SECTION. A VIOLATION OF THIS SECTION IS CAUSE FOR DISCIPINARY ACTION OR DISMISSAL PURSUANT TO THE COUNTY'S ADOPTED PERSONNEL POLICY. THIS SECTION DOES NOT ABROGATE THE IMMUNITY PROVIDED BY SECTION 12-820.1 OR 12-820.02.

Delivery of Inspection Reports

I hereby certify that the above information is correct, agree to comply with the Maricopa County Environmental Health Code, agree to allow the regulatory authority access to the establishment as specified under § 8-402.11 and to the records specified under §§ 3-203.12 and 5-205.13 and Subparagraph 8-201.14(D)(6), and I fully understand that any deviation from the above without prior permission from the Maricopa County Environmental Services Department may nullify final approval. By checking the check box and typing your name you have digitally signed this application.

Arizona law, A.R.S. § 11-1605(I), allows Maricopa County Environmental Services Department (MCESD) and the applicant for a license to mutually agree to extend the plan review time frame by 50 percent of the substantive time frame and overall time frame. MCESD will agree to any applicant's request for an 50 percent extension of the substantive review time frame and overall time frame when box is checked and signed below.

Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

Disclaimer

Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law. This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.

Created by AIPSS