Phone #
Block
Food License Application
Establishment Details
Registration Type
If food or beverage is primarily consumed on the premises, do you have designated seating capacity?
Address 2
Establishment Name
Establishment Type (If Other)
Lot
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Establishment Type
If yes, Seating Capacity
Address
Email
Description
Is The Establishment a Non-Profit?
Else, Square Feet
Address
  • Owner Details
  • Grease Trap Information
  • Food Handlers
  • Attachments
  • Fee Schedule
  • Certification
Emergency Contact
Email
ZIP
Address
Phone #
Last Name
Last Name
State
City
First Name
Retail Food Owner Details
Is Building Owner Same as Business Owner?
Email
Address
Building Owner
Phone Number
City, State, ZIP
First Name
Name
Phone #
Email
Name
Grease Trap Information
Phone
Address
City, State, ZIP
Plumber Information
License #
Does Your Establishment Have a Grease Trap?
Date of last Inspection (for Renewals only)
Please provide name(s) of person(s) who attended Food Handlers Training Course and date of certification.
Attachments
- Please Attach Latest Grease Trap Inspection Report.
(Per Village Ordinance 375-25: Grease traps must be inspected three times a year by a licensed plumber.)
Limited Sale (Snacks) $60
Caterer $75
Mobile Unit (Pkg. Ice Cream, Soda, Candy) $130
Mobile Truck (Pkg. Food) $220
Application Fee
Fee Schedule
When eating primarily on premises, fee is based by seats. Otherwise, it's based off of the size of your establishment.
1-1500 sqft $110
1501-3000 sqft $195
3001-4500 sqft $275
4500+ sqft $360
1-50 Seats  $110
51-100 Seats $195
101-150 Seats $275
151+ Seats $360
Type Full Name :
Sign With Hand
In making this application, I or we, agree to comply with all of the ordinances of the Township of South Orange Village, and the law of the State of New Jersey, covering such establishment. It is further understood that, I or we, will surrender licenses, if granted, to the Township of South Orange Village on demand. Expiration date is June 1st of each year. When there is a change in ownership or discontinuance of business, this license must be surrendered to this office.
Certification
Applicant Signature