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City of Beaumont Public Health Department Environmental Health Division 950 Washington Boulevard Beaumont Texas 77705 phone 409 832-7463 fax 409 212-9589 RETAIL FOOD STORE PERMIT APPLICATION Name of Establishment Address of Establishment City / State / Zip Code Owner s Name Owner s Address Business Phone Mailing Address Owner s Home Phone Number FEE CHECK APPROPRIATE FEE BELOW Number of Check-Out Counters Cost 50 Fee 192. 50 96. 25 247. 50 123. 75 302. 50 151. 25 10 and over 357. 50...
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