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No permits will be issued until payment has been received in full and processed by the staff of the City of Gardner Health Department
Owner, person in charge, supervisor, manager, etc
Time/ Temperature Controls Required
No Time/Temperature Controls required
Sandwiches, Salads, Muffins, etc., which need no further processing
Check all that apply
I, the undersigned, attest to the accuracy of the information provided in this application and I affirm that the food establishment operation will comply with 105 CMR 590.000 and all other applicable law. I have been instructed by the Board of Health on how to obtain copies of 105 CMR 590.000 and the Federal Code
Pursuant to MGL Ch 62C, Sec 49A, I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid state taxes required by law.
No permits will be issued until payment has been received in full and processed by the City of Gardner Health Department. All checks must be made out to "City of Gardner" and sent to Gardner Board of Health, Gardner City Hall Rm 29, 95 Pleasant St. Gardner, MA 01440
0-24 Seats: $100;
25-50 Seats: $150;
51+ Seats: $200 (maximum fee);
No Charge- Non Profit Organization
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