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Annual Food Permit Payment Form

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  2. Annual Food Permit Payment Form

    Please complete this form after you have submitted your renewal application through DocuSign.

  3. You must list all the business addresses for all the permits you are paying for at this time. For example, if you have 3 locations, you can fill out 3 applications through DocuSign, and then use this one payment form to pay for all three applications. Just list all three business location addresses.

  4. Annual Food Permits are due January 31, 2021. Any application received after this date is subject to a 75% late fee. The prices below reflect this late fee.

  5. Gross Sales between $0.00 and $49,999.99

    $75 Annual Permit

  6. Price

  7. Gross Sales between $50,000.00 and $149,999.99

    $100 Annual Permit

  8. Price

  9. Gross Sales between $150,000.00 and $249,999.99

    $125 Annual Permit

  10. Price

  11. Gross Sales between $250,000.00 and $499,999.99

    $150 Annual Permit

  12. Price

  13. Gross Sales between $500,000.00 and $749.999.99

    $200 Annual Permit

  14. Price

  15. Gross Sales between $750,000.00 and $999,999.99

    $250 Annual Permit

  16. Price

  17. Gross Sales between $1,000,000.00 and $1,249,999.99

    $300 Annual Permit

  18. Price

  19. Gross Sales between $1,250,000.00 and $1,499,999.00

    $325 Annual Permit

  20. Price

  21. Gross Sales over $1,500,000.00

    $375 Annual Permit

  22. Price

  23. Initial Administrative Fee

    if applicable

  24. Price

  25. Online Payment Fees:

    Online payments are processed by Forte. A fee of 2.5% or $1.50 (whichever is greater) will be assessed for all credit card payments. Electronic Checks are also accepted, and will be assessed a flat $1.25 for any payment under $50,000. The appropriate fee will be added to the total cost of your payment.

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