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Retail Food Operation Permit Application

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Utilize this application to formally request a Retail Food Operation Permit. Following the submission of your application, kindly proceed to make the necessary payment HERE. For any inquiries or assistance, please contact our Health Inspector, Crystal Longoria, at 361-358-4641 Ext. 240. Your cooperation is greatly appreciated. Thank you!

Business Information:

*Name Under Which Business Is Conducted:

*Business Owner Name (s):

*Drivers License Number:

*Date of Birth:

*Physical Location: (Address, City and Zip)

*Mailing Address: (Address, City and Zip)

*Phone Number At Site:

*Other phone number:

*Fax Number:

*E-Mail Address:

Type of Permit for Retail Food Operation

Food Service Establishment

Retail Food Store

Institutional Food Service

School/Childcare

Roadside Food Vendor

Amended Application

Mobile Unit

Change of Ownership - Name of Previous Owner:

Change of Location - Effective Date of Change:

Change of Name - Previous Name:

Other:

Retail Food Operation Information:

*Proposed Open Date:

*Days and Hours of Operation:

*List Type of Foods to Be Sold:

*Number of Employee (Include Management, Family and Owners):

*Number of Employee's that have a Food Handler's Cards:

*Number of Employee's that have a Food Manager's Certification:

*Print Name:

*Date:

Signature of Owner, Partner, President, Date or Corporation Designee (cannot be manager):

Confirm

Cancel

Interim Director of Developmental Services

Sonya Soto

Work: 361-358-4641 ext:290

sonya.soto@beevilletx.org

Health Inspector

Crystal Longoria

Work: 361-358-4641 ext:240

crystal.longoria@beevilletx.org

Permit Tech

Joie Maldonado

Work: 361-358-4641 ext:243

joie.maldonado@beevilletx.org

General Information

Staff Directory

developmentservices@beevilletx.org

Phone Numbers

361-358-4641

Emergencies: Dial 911

Location

400 N. Washington

Room 106

Beeville,

78102

Get Directions

Office Hours

Monday - Friday 8 - 5

Retail Food Operation Permit Application

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