I/we attest to the accuracy of the information provided, affirm to comply with the Food Regulations, and allow the regulatory authority access to the establishment at any reasonable time to inspect, conduct tests or collect samples as required. Signature:_________________________________________ Date: ______/______/______ Print Name: _______________________________________ Title: ________________________________
I/we attest to the accuracy of the information provided, affirm to comply with the Food Regulations, and allow the regulatory authority access to the establishment at any reasonable time to inspect, conduct tests or collect samples as required. Signature:_________________________________________ Date: ______/______/______ Print Name: _______________________________________ Title: ________________________________
Restaurant-Application.docx