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2021 Food Establishment Permit Application
Click here to print and mail form instead
MAKE CHECKS PAYABLE to WARREN COUNTY TREASURER
INCLUDE YOUR MO NO TAX DUE CERTIFICATE WHEN MAILING
Click here for No Tax Due
Due Date: 01/01/21. Late fee assessed after this date.
MAKE CHECKS PAYABLE to WARREN COUNTY TREASURER
INCLUDE YOUR MO NO TAX DUE CERTIFICATE WHEN MAILING
Click here for No Tax Due
Due Date: 01/01/21. Late fee assessed after this date.
Administrative Service Charge Schedule
Charges based on food sales only
RETAIL FOOD STORE:
GROCERY, CONVENIENCE, OTHER RETAIL
| Gross retail sales 0f 2019 | Fee |
| $0-$500,000 | $125.00 |
| $500,001-$1,000,000 | $150.00 |
| $1,000,001-$6,000,000 | $250.00 |
| $6,000,001-$12,000,000 | $300.00 |
| $12,000,001 and above | $350.00 |
FOOD SERVICE:
RESTAURANTS, CATERERS, TAVERNS
| Gross retail sales 0f 2019 | Fee |
| $0-$100,000 | $100.00 |
| $100,001-$350,000 | $125.00 |
| $350,001-$900,000 | $150.00 |
| $900,001-$1,500,000 | $200.00 |
| $1,500,001 and above | $250.00 |
| Lodging Breakfast Bar | $100 |
| Re-Inspection Fee | $75.00 per visit after routine inspection |
| Late Permit Fee | $50.00 per month late |
| Temporary/Mobile Establishment Fee | $75.00 per year |
| Expedited Temporary/Mobile Establishment Fee (Less than 48hr. before event) | $100.00 |
| Food Related Emergencies | $50.00 per hour |
| On Demand Appointments (Same Day) | $75.00 |
Failure to contact Warren County Health Department and apply for permit to open/operate a new, temporary, or mobile food establishment, extensive remodeling, change of ownership, or for food related emergencies will be a $100 fine.
2021 Food Establishment Permit Application
Complete entire form.
Click here for No Tax Due
Due Date: 01/01/21. Late fee assessed after this date.
