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Get Leicester Board Of Health Food Establishment Permit Application

OR BOARD OF HEALTH USE ONLY DATE RECEIVED DATE INSPECTED APPROVED BY PERMIT # ISSUED APPLICATION TO OPERATE A FOOD ESTABLISHMENT ESTABLISHMENT Name: Email: Address: Telephone: Fax: Address to send permit to: OWNER Owning entity is a(n): Corporation Partnership Association Individual Other legal entity Name of owning entity: Responsible person: Title: Address: Telep.

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