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Maricopa

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Temporary/Seasonal Food Establishment Permit

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Temporary Permit Fees: For events lasting 14 days or less
$85 more than 7 days before event / $135 less than 7 days before event
Seasonal Permit Fees: For events lasting 15 to 120 days
$180 more than 7 days before event / $230 less than 7 days before event

  1. Make checks payable to MCESD or payment can be made online once the application is accepted and reviewed.
  2. Reviewing the following information is required for submitting and obtaining this permit.

By checking the boxes below, you are acknowledging that you have received and reviewed the following:

Please provide complete, unabbreviated event name.

If advanced preparation is taking place at commissary, please provide date/time when you will be at commissary. If all preparation is taking place at the event, please indicate what date/time you will be at event site.

Delivery of Inspection Reports
Pursuant to A.R.S. § 41-1009, the Department may enter your establishment to conduct inspections. You have the right to receive a copy of the Department's inspection report at the time of the inspection, within thirty (30) days after the inspection, or as otherwise provided by federal law. I agree that the Department may send me a copy of its inspection report by e-mail or by facsimile transmission to the e-mail or fax number provided under the Business Ownership Information provided above. It is the responsibility of the permit holder to update the Department if there is a change in contact information.

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.

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