HomeMy WebLinkAbout2022 Cartering - App & License The Commonwealth of Massachusetts Fee
Town of Yarmouth $80.00
Food Establishment License
Number: BOHF-22-3895 Issue Date: 04/14/2022
Mailing Address: Location Address:
CHEZ HOSPITALITY GROUP LLC 62 HIGHBANK RD
P.O. BOX 498 SOUTH YARMOUTH. MA 02664
EAST WINDSOR, CT 06088
IS HEREBY GRANTED A 2022 LICENSE
TO OPERATE:
Caterer
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires December 31, 2022 unless sooner suspended or revoked and is not
transferable.
Board Hillard Boskey, M.D.,Chairman
Mary Craig, Vice Chairman
Of Charles T.Holway,Clerk
Debra Bruinooge
Health Eric Weston ef
1
Bruce G. Murphy, MPH, R.' , C_0/James G. Gardiner
Health Director/Assistant Health Director
lir TOWN OF YARMOUTH Board of
\ Health
.:u 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-24451
Telephone(508) 398-2231,ext. 1241 Health
Fax (508)760-3472 Division
FEE: $80.00 per year
COMMISSARY/CATERINGAPPLICATION- 2022
Name of Business: ..\ L Tax ID (FEIN or SSN)
Contact Person: Luri-+ h Phone Number: .G `~ lc - t115t
Mailing Address: r C. ':7c.1,- `•t c, L = C t, ;
E-mail Address: L k h 1 . i •Ccs til S+c ~rc.:' 6.C6..7 ifILIF Lt-0 t t41 •CC rl
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Address where food is prepared: k._ 4boo L. fit;, . L\0 ri'14 rt.- / c �Lt,y
Method of food transportation: l:.L_. ?t,., '�C..b•C � !
List all f od suppliers:
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RECEIVED
APR 12 2022
HEALTH DEPT.
Ice obtained from: .-, ,, _,,t 7 �;;.,
Procedure for keeping potentially hazardous foods below 45E F or above 140E F:
t 6-4..te , ; r) 0-Lt- 5L I , Li.—,., _. l bt, - . 1 , ; N ; /tit b(.A 0 "
Describe hand washing facilities/procedures and methods for washing and sanitizing cooking
utensils: A t
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Signature of Applicant: si. 4/ ) Date: ` ( (ona
NOTE: The Yarmouth Board of Health mus be notified 72 hours prior to service of catered event.
Caterers located outside of the Town of Yarmouth must also submit a copy of their current local food service
permit and last inspection report.
All applicable items must be completed in order for your application to be processed.
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