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Application to operate a lunch wagon
Download:
lunch-wagon-permit-application.pdf
Contact Information
Name:
*
Address:
*
Mailing Address:
*
If different from above
Tel: Home:
Tel: Work:
Tel: Cell/Pager:
Tel: Fax:
E-Mail:
Business Information
Name of Lunch Wagon Business::
*
Licence Number of Lunch Wagon:
*
Make of Vehicle:
*
Expiry Month/Year of Vehicle Licence:
*
Do You Have a Health Department Permit?:
*
Yes
No
If “no”, have you applied and when do you expect to obtain the permit?:
Requested Location:
*
Intended Hours of Operation:
*
Intended Days of Operation::
*
Type of Food to be Sold:
*
Names of other Employees Hired to Work in Lunch Wagon:
*
What is the Source of your Electrical Supply:
What is Your Water Source?:
Do you have a holding tank for waste-water and/or grease?:
Yes
No
If “no”, how do you dispose of waste-water and/or grease?:
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