FOOD TRUCK PERMIT APPLICATION

CODE ENFORCEMENT

BUSINESS NAME *

CELL PHONE *

ALTERNATE PHONE

CONTACT NAME *

First

Last

CONTACT ADDRESS ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

TRAILER/TRUCK LOCATION *

REQUIRED SUBMITTALS

Applicat8on will not be accepted without all required attachments below. Application must be submitted 72 hours in advance. IT IS RECOMMENDED THAT THE WHEELS OF THE FOOD TRUCK/TRAILER BE CHOCKED AND SECURED.

SUBMITTALS *

Site plan showing location of food truck
Permission letter(s) from the property owner(s) for proposed locations and restrooms
Copy of State Sales Tax ID
Copy of State issued driver’s license
Copy of liability insurance
Copy of managers/food handler’s certificate
Fire Department Inspection Report
Completed Heath Inspection

Health Inspector's Name

FOOD TRUCK ORDINANCE

I have read the attached Food Trucks Ordinance. I understand that I am responsible for any code violations and any resulting penalties that may occur as a result of not honoring the City Ordinance.

I Agree To the Above Statement

PERMIT AGREEMENT STATEMENT

In consideration of issuance of this permit I understand and agree to familiarize myself and comply with all laws and ordinances applicable to operation of said business and further agree to permit unrestricted access to an authorized representative of the Environmental Services – Food Safety Division for the purpose of conducting inspections necessary to verify with applicable regulations. I understand that by typing my name I am signing this legal document.

SIGNATURE *

Type your name as your signature.

REQUIRED SUMITTALS

Email required submittals to

*Required fields.

FOOD TRUCK PERMIT APPLICATION

REQUIRED SUBMITTALS

FOOD TRUCK ORDINANCE

PERMIT AGREEMENT STATEMENT

REQUIRED SUMITTALS

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