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How to use or fill out BOX 129261, SAN DIEGO, CA 92112-9261 with our platform
- Click ‘Get Form’ to open it in the editor.
- In Section I, enter the Facility Name, Health Permit Number, and Facility Mailing Address. Ensure all details are accurate for proper identification.
- Complete the City, Street Number, and Zip Code fields. This information is crucial for regulatory compliance.
- Provide the Permit Owner Name and contact details including Fax and Phone numbers. This allows for easy communication regarding your application.
- In Section II, the Commissary/Headquarters Owner must authorize the food facility's use of their premises by filling in their business details and checking applicable permissions.
- Ensure that both parties sign and date the form at the bottom to validate the agreement.
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