HomeMy WebLinkAbout2023 PI: RMITS TO OPERATE A F:001..)I:::SIA131-iSHMEN]i A1141[1)
FOAIT 1::q...'E PAYMENI S ARE NO"II"TRANSFERABIl E
Notify the Biji eau of Public HealUr F'rotection of any charige of
ownership),type of business acfiv0y, business narne,or::Oling
address by calling 631-8x2-5999 Perrnits lbe come rioid upon
diange of ownership New owners must apply and pay for a new
TH 1.prior to 1::reg ii ining opera Jon 01.,)eratingwithout avalid
berrnit may subject.you to legal action,includinga hearing,fines
and possil-.)IesLisp:)euisionofthe ol.,)eiatting permit
E NEVILLE,TOWN CLERK
SOUTHOLD HUMAN RES CTR
PO BOX 1179
SOUTHOLD. NY 11971
DETACH PERMIT HERE AND DISPLAY PROMINENTLY TO THE PUBLIC
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Suffolk County Department of Health Services
360 Yaphank Avenue Suite 2A
J A I f S r�I I I I M -0t=1 1
Yaphank, NY 11980
631-852-5999
www.suffolkcountyny.gov/health
Ulu I TM IT I I I III I I
Facility ID FA0001557
PERMIT' Account ID: AR0009086
TO OPERATE A FOOD ESTABLISHMENT issued 12/2/2022
SOUTHOLD HUMAN RES CTR,
750 PACIFIC ST
MA-MTUCK, NY 11952
OWNER NAME: TOWN OF SOUTHOLD Medianical[Dishwashei Required
Reslaurant Seats-0 Permit ID Number: PT0001350
Extenoi Seats-0 1 iot&C,old[Mlivei y
Catening Seats::::0 Valid From 12/1/2022 To 12/31/2023
Bar Seats ::::0
total Seats=85
Fhis permit will exph e i..ipon Uie date specified of upon a change of ownership
f his permit is NOT transferrable and is granted suciect to compliance with,the provisions of Article 13 of the Suffolk County Sanillwy Code and all applicable state,local,and
nunicipal laws,ordinances,codes, rules,and regulations
THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC
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