HomeMy WebLinkAbout2017 PERMITS TO OPERATE A FOOD ESTABLISHMENT AND
PERMIT FEE PAYMENTS ARE NOT TRANSFERABLE.
Notify the Bureau of Public Health Protection of any change of
ownership,type of business activity,business name,or billing
address by calling 631-852-5999.Permits become void upon
change of ownership.New owners must apply and pay for a new
permit prior to beginning operation.Operating without a valid
permit may subject you to legal action,including a hearing,fines
and possible suspension of the operating permit.
[DECEIVED
E. NEVILLE,TOWN CLERK
Et; 9 2016
SOUTHOLD HUMAN RES.CTR.
O BOX 1179
SOUTHOLD, NY 11971 Southold Town Clerk
S
DETACH PERMIT HERE AND DISPLAY PROMINENTLY TO THE PUBLIC
Suffolk County Department of Health Services
STEVEN BELLONE " - JAMES L.TOMARKEN,MO,MPH,MBA,MSW 360 Yaphank Avenue Suite 2A
SUFFOLK COUNTY EXECUTIVE ?. COMMISSIONER Yaphank,NY 11980
631-852-5999
SUFFOwww.suffolkcount n ov/health
DEPARTMENT OF
HEALTH HEALTHSERVICES
PERMIT Facility I D: FA0001557
Account ID: AR0009086
TO OPERATE A FOOD ESTABLISHMENT Issued: 12/2/2016
SOUTHOLD HUMAN RES. CTR.
750 PACIFIC ST
MATTITUCK, NY 11952
OWNER NAME:TOWN OF SOUTHOLD
Restaurant Seats=0 Permit ID Number: PT0001350 Mechanical Dishwasher Required
Exterior Seats=0 Hot&Cold Delivery
Catering Seats=0 Valid From 12/2/2016 To 12/31/2017
Bar Seats=0
Total Seats=85
This permit will expire upon the date specified or upon a change of ownership.
This permit is NOT transferrable and is granted subject to compliance with the provisions of Article 13 of the Suffolk County Sanitary Code and all applicable state,local,
and municipal laws,ordinances,codes,rules,and regulations.
THIS PERMIT MUST BE PROMINENTLY DISPLAYED TO THE PUBLIC
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