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Extension of Premises - Food Establishment

2. Extension of Premises - Food Establishment

4. 

6. 

8. Plan of Development Application
   Plan of Development Application

   Click on “As-Built Plan of Development” tab

10. Local Jurisdiction - Fire Marshall
    If cooking outside of the premises, additional approvals may be needed from the local jurisdiction to ensure compliance with other codes (e.g. Fire Marshall). If the establishment is located in unincorporated Maricopa County, please contact the Planning & Development Department at 602.506.8573 or pndcustomerservice@maricopa.gov.

    If cooking outside of the premises, additional approvals may be needed from the local jurisdiction to ensure compliance with other codes (e.g. Fire Marshall). If the establishment is located in unincorporated Maricopa County, please contact the Planning & Development Department at 602.506.8573 or pndcustomerservice@maricopa.gov.

12. Business Name*

13. Permit #*

15. Business Address*

17. City*

18. State
    AZ

    AZ

19. Zip Code*

21. Name of Contact Person*

22. Phone Number*

24. Email*

28. Questionnaire
    Please answer the questions below providing as much detail to convey your operational plans. <br>

    Please answer the questions below providing as much detail to convey your operational plans.
    

30. Are you planning on cooking/grilling food outside your premises?*
    -- Select One --YesNo

    Outdoor cooking/grilling will require a fee for a minor review ($245); you will receive an email from the Department that will provide you with information on how to submit payment.

32. Please describe the location of the expansion:*

    e.g. 10 parking spaces and 50 square feet of sidewalk.

34. Please describe what food and/or beverage preparation is planned for outside.*

    Note: Advanced preparation (breading, chopping, mixing, marinating) should take place inside the permitted kitchen.

36. Please describe what equipment will be available for handwashing by employees.*

    Note: The handwash station must be complete, accessible, and functioning with warm water available (approximately 100°F). There must be adequate water, soap, and paper towels available. The waste water catch bucket (tank) must be 15% larger than fresh water container (tank). Waste water must be disposed of in a sanitary water (e.g. mop sink).

38. Are shade structures, tents, generators, or other semi-permanent fixtures being added? If yes, please describe.*

40. Equipment Schematics

    Please upload all equipment schematics/cut sheets for equipment that will be used outside, including the handwashing sink (temporary or self-contained handwashing sink).

41. Layout

    Please provide an exterior layout using an aerial picture (like google maps) or hand draw the site and detail the following: address, seating location, location of equipment, handwashing sink, fire hydrant(s), fire lane(s), ADA parking spot(s).

43. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
45. Electronic Signature

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field