Fillable Food Establishment Permit Application HealthInfo@McKinneyTexas.org (City of McKinney, Texas)

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Food Establishment Permit Application HealthInfo@McKinneyTexas.org (City of McKinney, Texas)

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Food Establishment Permit Application
Application Date:
Health Compliance Department
410 N. Tennessee St | McKinney, TX 75070
P: 972-547-7440 | F: 972-547-2606
HealthInfo@McKinneyTexas.org
Name of Business: Address: Suite:
Manager: Office #: Cell #:
Driver's License #: Email:
Business Owner: Office #: Cell #:
Address (including City/State/Zip): Email:
Select all that apply: Renewal Name Change Change of Ownership
Concession $100.00 Restaurant $300.00
Convenience $250.00 To Go / Fast Food $250.00
Daycare / Preschool $300.00 Trades Day $200.00
Farmer's Market $100.00 AISD
Grocery $400.00 FISD
Mobile Food Unit $150.00 PISD
Non-Potentially HS $50.00 MISD
Food Protection Manager Name: Office #: Cell #:
Address (including City/State/Zip): Email:
Applicant is: Business Owner Manager Other:
• Form MUST be completed before Health Permit(s) are issued.
• Failure to update contacts, emails and phone numbers as they
change could result in additional fees and delay of permit.
I CERTIFY THE ABOVE INFORMATION ITO BE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. FALSIFIED
INFORMATION MAY RESULT IN THE REVOCATION OF THIS PERMIT AND THE ISSUANCE OF MUNICIPAL CITATIONS.
ANY CHANGES WILL BE PROMPTLY FORWARDED TO THE HEALTH COMPLIANCE DIVISION.
Applicant Name (Printed)
Applicant Signature
Contact Phone
Driver's License #
Site Information
Type of Food Establishment
Certified Food Protection Manager Information
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Food Establishment Permit Application HealthInfo@McKinneyTexas.org (City of McKinney, Texas)

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Completed 11 March 2021

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