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License to Conduct Eating, Drinking and Food Handling Establishment Application

  1. Township Clerk
    641 Plainsboro Road
    Plainsboro, NJ 08536
    Phone: 609-799-0909, ext. 2547
  2. I, or We, the undersigned, do hereby make an application for a license to conduct an eating, drinking or retail food establishment in the Township of Plainsboro located at:
  3. In making this application, I or We, agree to comply with all the Ordinances of the Township of Plainsboro and the Laws of the State of New Jersey covering such establishments. It is further agreed that I, or We, will surrender this license, if granted, to the Department of Health on demand.
  4. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Please Note:
    Penalties are assessed if the annual fee is not paid by the January 31st due date per Township Ordinance Chapter 69.
  6. Restaurant-type establishments
    Select One:
  7. Price
  8. Food Stores, Delicatessens, Bakeries and ALL other establishments handling food:
    Select one:
  9. Price
  10. For Office Use Only:
  11. Leave This Blank: