Siskiyou County, CA · Siskiyou County
Food Facility Permit Application
This application is for a business seeking a permit to operate a food facility in Siskiyou County.
At a glance
- Issued by
- City of Siskiyou County · Siskiyou County, Siskiyou County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- siskiyoucounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests a permit to conduct a business activity under applicable laws, regulations, and ordinances. It asks for the business name and phone number, facility and billing addresses, owner or operator details, facility type, square footage, seating capacity, and the applicant’s signature and date.
Who needs it
A business applicant seeking a permit for a facility covered by the Siskiyou County Environmental Health Division should complete this application.
How to submit it
The form identifies Siskiyou County Community Development at 806 S. Main St., Yreka, CA 96097. It does not provide a submission method; check the county website for current contact details.
About notarization
This application is signed without a notary; the applicant just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Food Facility Permit Application.
- 2
Complete the Business Details
Enter the business, owner or operator, billing, and facility information requested.
- 3
Sign and Date
The applicant signs and dates the application.
- 4
Submit to the County
The form lists Siskiyou County Community Development at 806 S. Main St., Yreka, CA 96097; check the county website for current submission details.
Frequently asked questions
- Who uses the Food Facility Permit Application?
- A business applicant seeking a permit for a facility covered by the Siskiyou County Environmental Health Division uses this application.
- What information does the application ask for?
- It requests business and owner or operator contact details, facility and billing addresses, facility type, square footage, seating capacity, and the applicant’s signature and date.
- How do I submit the Food Facility Permit Application?
- The form lists Siskiyou County Community Development at 806 S. Main St., Yreka, CA 96097, but does not specify how to submit it. Check the county website for current contact details.
- Do I need a notary for the Food Facility Permit Application?
- No. This application is signed without a notary; the applicant just signs and dates it.