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Limited Food Plan Review Application


  1. 1. Introduction & Checklist
  2. 2. Establishment Information & Contacts
  3. 3. Acknowledgement & Signature
  4. 4. Potentially Hazardous Foods Being Served & Methods of Preparation
  5. 5. Checklist for LFSE (Please Keep This Page)
  • Introduction & Checklist

    1. The intent of this application is to provide information in addition to the plans regarding the operational procedures of the facility.
    2. The Governing the Sanitation of Food Service Establishments (15A NCAC 18A .2600) require that plans be submitted for approval prior to construction. Plans must be submitted with the necessary paperwork (see following checklist) to the Richmond County Health Department.
    3. This Limited Food Service Establishment (LFSE) permit application must be submitted no later than 30 days prior to construction or commencing operation. All LFSE permits shall expire on December 31st of each year.
    4. Submittal Checklist
    5. Upload Establishment Plans