Farmers Market Application
Person in Charge
*
Establishment Name
*
Address for Person in Charge
*
Mailing Address
Street Address Line 2
City
State
Zip
Email Address
*
example@example.com
Phone Number
*
Market Name
*
Market Location Street Address/Nearest Intersection
*
Dates
*
Operating Times
*
Items Sold/Sampled
*
By singing this application you agree to the Platte County Missouri Government Ordinances Chapter 230: Food Service Establishments and Retail Food Establishments and Missouri Food Code. The Platte County Food Protection Ordinance can be found at plattecountyhealthdept.com.
*
Date
*
/
Month
/
Day
Year
Date
If application is submitted less than 10 business days prior to the event, additional fees will apply.
Permit Fee
*
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Permit Fee
$
25.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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