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Porter County Health Department

Partial Year Retail Food Establishment Permit Application

Application Information

A Partial Year Retail Food Establishment Permit and receipt will be mailed to you once the application and the appropriate permit fee have been received. The Partial Year Retail Food Establishment Permit MUST be posted on the premises.

In accordance with Ordinance #13-12, passed by the Porter County Board of Commissioners on October 15, 2013, the partial year permit fee for Retail Food Service Establishments in Porter County is as follows:
Partial Year Retail Food Establishment Permit Fee: $150.00
**A Retail Food Service Establishment operating for six (6) consecutive months or less during any calendar year.

Permit Fees are Non-Refundable and Permits are Non-Transferable. Changes in ownership and any remodel may require upgrades prior to the issuance of the permit.

Contact the Health Department prior to remodel or change of ownership.

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Establishment Information

 
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e.g. restaurant, mobile unit, pushcart, food booth/tent date_range access_time
if the water source is a well, adequate microbiological test results will need to be received before a permit is issued and that these must be provided every 6 months of operation.
List everything that will be on the menu.
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Owner's Information

 
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Commissary Information

ATTENTION: Mobile unit and pushcart operators, temporary food vendors, and farmers' market food vendors, please read carefully and complete the following:

Commissary

Mobile unit operators, temporary food vendors, and farmers market food vendors without locally licensed retail food the establishment must have a licensed commissary or base of operation from which to operate. This would include a fully equipped and licensed mobile unit.

If you own an out-of-county or out-of-state food establishment provide a copy of your Food Establishment Permit/License with this permit application. If using a licensed food establishment not owned by you provide copies of a Commissary Agreement and the Commissary’s Food Permit/License with this Permit Application.

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Uploads

Uploaded Files:

Before completing any online submission, please confirm that the correct form is being used and that all requested information is currently available, valid, and included with the submission as requested. If you have not worked with Porter County Health Department before, or if you have any questions or need any clarification, please call our office at (219) 465-3525 option 3 before making your submission.