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ORANGE COUNTY DEPARTMENT OF HEALTH 124 MAIN STREET, GOSH EN, NY 10924 (845)2912331 APPLICATION FOR A PERMIT TO OPERATE A NONCOMMERCIAL TEMPORARY FOOD SERVICE ESTABLISHMENT Name of Event: Location:
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Start by writing your name on the top left corner of the form.
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Write the city name 'Goshen' in the appropriate field.
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124 main street goshen is the address of a location in Goshen.
The person or entity who owns or is responsible for the property at 124 main street Goshen may be required to file.
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