Board of Health: Applications and Forms

Please include your email address on your permit application so your permit can be emailed to you.

2025 Board of Health Fee Schedule

Board of Health 2025 Fee Schedule (pdf)

LRPHC Food Permit Guide

LRPHC – Do I Need a Food Permit? A Quick Guide for Food Vendors at Public Events (pdf)

Food Establishent Applications and Forms

Application to Operate a Food Establishment (pdf)
Food Establishment Plan Review Application – New Construction or Remodel (pdf)
Mobile Food Establishment – Plan Review Application (pdf)
Temporary Food Establishment/Mobile Food Event Permit Application (pdf)

Title V Applications and Forms

Title 5 Septic System Forms (website)
Application for Disposal Works Installers Permit (pdf)
Application for Deephole Soils Evaluation/Percolation (pdf)
Application for Disposal System Construction Permit (doc)
Application for Disposal System Construction Permit (pdf)
Certificate of Compliance (Title 5) (doc)
Certificate of Compliance (Title 5) (pdf)
Septic System Installation Checklist (doc)
Septic System Installation Checklist (pdf)
Disposal System Construction Permit (doc)
Disposal System Construction Permit (pdf)
Percolation Test (doc)
Percolation Test (pdf)

Miscellaneous Applications and Forms

10 Day Emergency Beaver or Muskrat Permit (pdf)
Tobacco Sales Permit Application (pdf)
Well Construction Application (pdf)
Application for Transportation of Offal Permit (pdf)
Permit Application to Operate a Mobile Home Park and Annual Mobile Home Park Inspection (pdf)
Marijuana Establishment Application (pdf)