HomeMy WebLinkAbout2018 PERMITS TO OPERATE A FOOD ESTABLISHMENT AND
PERMIT FEE PAYMENTS ARE NOT TRANSFERABLE.
f'= " _ !'_ =Notify,the Bureau of Public Health Protection of any change of ,
- - ownership,type of business activity,business name,or billing- .
calling 631-852-5999.Permits become void upon
ars must apply and pay fora new - t
" _address by
-'change of ownership.New own
permit prior to beginning operation Operating without a valid =.
" permit may subject you to legal action,incfudmg a hearing,fines
' and possible suspension of the operating permit. "
RECEIVED _
E.NEVILLE,TOWN CLERK .=_ ; DEC - 1 2017 ^
SOUTHOLD HUMAN RES.CTR.
,j.
PO BOX 1179
SOUTHOLD,NY 11971 Southold Town Clerk
DETACH PER_MIT HERE,AND,DISPLAY,,P,ROMINENTLY,TO THE PUBLIC
z77„'•>¢'
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+Suffolk County bepartmeint of Health Services
`-360 Yaphank-Avenue Suite 2A
STEVEN6JN9OAoE"'"B""S"•NULCONBA9gNa Yaphank,NY 119806UFf0 OU"TV T E ' •
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631-852-5999 - 'xa
euFFOLKcouim www.suffolkeountyny.gov/health
DEPARTMENT OF HEALTH SERVICES
-`rn�`• •:'�'"'""'r""' FacilitylD: FA0001557
PERMIT Account ID, AR0009086
Issued: 11/24/2017
TO OPERATE A FOOD ESTABLISHMENT ry
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='0Hot 8 Cold Delivery
Catering Seats=0 Valid From 11/24/2017 To '-,12/31/2018 4
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 isgrantedsubject to compliance with the provisions of Article 13 of the Suffolk County Sanitary Code and all applicable state,local, 14
and municipal laws,ordinances,codes,rules,and regulations =,
THIS PERMIT MUST BE PROMINENTLY bISPLAYED TO THE PUBLIC
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