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Mobile Food Vendor Application

Firm/Company Represented*
Type of Food*
Firm/Company Address*
City*
State*
Zip*
Phone Number*
Email Address*
Website Address
Address of sale activity*
Submit a site plan drawn to scale or aerial map drawing of sale location.*
Submit copies of all TDSHS permits/licenses/certificates*
Submit copy of General Liability Insurance coverage-min. $300,000*
Submit a copy of current Texas Sales Tax Permit*
Submit permission letter from property owner *
Submit copy of identification*
Applicant Name*
Applicant Phone*
Applicant Address*
City*
State*
Zip*
Mobile License Plate #*
State*
Year*
Trailer*
Vehicle Color*
Acknowledgement
I certify that by applying for the Mobile Food Vendor License, I understand any limitations and requirements identified to me by the City of Bowie and I will abide by these limitations and requirements. I further understand that my failure to comply may result in the revocation of this license. I further understand that any false information herein shall result in denial of this license. I further understand that by submitting this application, I authorize the City of Bowie to conduct a criminal background check on all applicants. Failure to provide a complete application or the falsification of any part of the application shall be grounds for the denial or revocation of a license.
Electronic Signature*
Date/Time*
Date/Time
Date/Time
For Office Use Only
Hold Harmless Agreement required: Yes No
Permit Request Approved________________
Permit Number___________________
License expiration date______________
Application Fee $50.00 plus permit fee
Permit fee valid for 12 months - $150.00
Special Events Permit Fee - Exempt
Permit request denied__________
Reason, if denied _______________________
Code Enforcement Signature
_______________________________________
Date
_______________________________________

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