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30 Day Transition Application for Food Establishments - Permanent/Fixed locations only (Web Form)

Steps

  1. 1. Page 1 - Business/Contact Information
  2. 2. Page 2 - Acknowledgements
  3. 3. Page 3 - Review and Sign
  • Page 1 - Business/Contact Information

    1. Maricopa County seal

    2. 30 Day Transition Application - Food Establishments

      Maricopa County Environmental Services Department
      Environmental Health Division
      Permitting Services Program
      Phone: (602) 506-6824 esplanreview@mail.maricopa.gov

    3. A032106 ESD-Circle (1)

    4. Food Establishment Application Requirement*

    5. Business Information (Name on Establishment)

    6. Business Owner Information (Responsible Party)

    7. Entity Type

    8. Inspection or Plan Review Response Contact

    9. Contact information

    10. If applicable, a follow-up inspection will automatically be scheduled at the 30 day expiration date.