Tobacco Retailer: Permit Application

 

Tobacco Retailer: Permit Applications

  • There are two types of Tobacco Retailer permits. Please choose the type of permit you need for your tobacco retail location and sign indicating you understand the requirements for the permit you are seeking.
  • PROPRIETOR INFORMATION

  • BUSINESS INFORMATION

  • Payment

  • Payment must be submitted with the application. No permit will be issued without the payment of the permit fee. A plan review will not be conducted until payment of the plan review fee. It is the responsibility of the applicant to verify zoning and proximity restrictions. Fees cannot be refunded if it is later determined that the identified location does not meet zoning or proximity requirements. New Permit: $30.00 Permit Renewal: $20.00 (not an option until after June 30, 2019) Permit Reinstatement: $30.00 Retail Tobacco Specialty Business Plan Review: $250.00 (required for all new retail tobacco specialty business permit applications) Please mail a check or pay in person at the TriCounty Health Department. 133 S 500 E, Vernal, UT 84078
 

Verification