Local permits & fees

Clark County, MO Food Facility Permits

Restaurants and food trucks.

Clark County Health Department · department site →

Fees change often — always confirm the current amount with the department before you budget.

Confirm the authority for your exact address. Some cities run their own health division, and building, planning, fire, sewer/grease and business-license approvals are separate even when Clark County Health Department issues the health permit.

About 11 food & drinking establishments operate here, serving a population of about 6,641. (U.S. Census 2023 estimate; County Business Patterns 2022, NAICS 722)

Last verified: 2026-08-18 — we re-confirmed the serving authority, its contact, and that the fees below match the current published schedule. Fee schedules may carry an earlier effective date (shown per fee); local ordinances & amendments aren’t individually reviewed, so confirm current rules with the authority having jurisdiction.See something out of date? Report an update →

Restaurant / food-facility permit

Food Establishment Permit

Fee not published online — contact the department.

Health department (Kahoka, 660-727-2356) issues food establishment permits with fees that vary by facility type, but the fee schedule is not published online; (Do not confuse with clarkhealth.net, which is Clark County, Indiana.)

Plan review — required

Fee not published online.

Reach the department

Phone(660) 727-2356

EmailAudrie.Howe@lpha.mo.gov

Office670 North Johnson, Kahoka, MO 63445

Websiteclarkcountyhd.org →

Inspection grading

How inspection results are scored/posted here is pending verification — ask the department.

Food truck / mobile permit

Mobile/Temporary Food Permit

Fee not published online — contact the department.

No fee published online

How to apply

See the department site above.

Fees/payment and forms are on the department site; application steps vary by concept — see the checklist below.

Local food-service market

About 11 food & drinking establishments serve ~6,641 residents in Clark County — one per ~604 residents, denser than the Missouri average (one per ~610).

U.S. Census 2023 population; County Business Patterns 2022 (NAICS 722).

Equipment your Clark County plan review will check

Health-department plan review looks for specific, code-compliant fixtures. Compare spec-filtered options, then confirm counts and sizes with your local requirements. See the full list in what equipment a commercial kitchen requires.

Compartment sinks

3-bay wash / rinse / sanitize — sized to your menu

Hand sinks

required in prep, cook & warewashing areas

Grease traps / interceptors

sized by drainage fixture units

Reach-in refrigeration

cold-holding at 41°F or below

Work tables & surfaces

NSF-listed, non-absorbent

Hoods & ventilation

over cooking equipment; make-up air

Dishwashers

high-temp or chemical sanitizing

Nearby counties

Permit costs and rules change at the county line — compare Clark County with its neighbors.

Hancock County, IL

Restaurant permit: $135

Lee County, IA

Restaurant permit: $150

Van Buren County, IA

Restaurant permit: $150

Knox County, MO

Restaurant permit: See page

Lewis County, MO

Restaurant permit: See page

Scotland County, MO

Restaurant permit: $50

How to open: typical permitting sequence

This is a typical sequence — confirm the exact sequence with your authority having jurisdiction.

Confirm whether Clark County or another local jurisdiction (city/district) handles your exact address.
Confirm zoning and permitted use.
Prepare your menu and scaled plans.
Include an equipment schedule with ANSI/NSF spec sheets.
Submit water-heater and hood documentation.
Pay plan-review fees.
Respond to plan-check corrections.
Obtain Environmental Health plan approval.
Obtain building, plumbing, mechanical and fire approvals.
Schedule rough-plumbing, pre-final and final health inspections.
Pay the operating-permit / application fees.
Receive approval before storing or preparing food.