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Temporary Food Permit Application

  1. TEMPORARY FOOD PERMIT APPLICATION
    $30.00 FEE FOR EVENT
  2. (Sources of food outside of Stoneham will require a copy of applicable Health Department Permit)
  3. I, the undersigned, under penalties of perjury that the applicant has filed all state and local tax returns and paid all state and local taxes as required by law.. (MGL, Chapter 62C s 49A).
  4. I certify that I am familiar with 105 CMR 590.000 Minimum Standards for Food Establishments – Chapter X, Federal 1999 Food Code and the above described establishment will be operated and maintained in accordance with these regulations.
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  6. This field is not part of the form submission.