Required fields are marked with asterisks (*)

Food Truck Licence Information Form

This form is required to be included within the application for a Food Truck Licence from the Municipality of Northern Bruce Peninsula.

Are you applying for a new licence or to renew your current licence?

New

Renewal

What is the proposed address where your Food Truck will be operating?

Provide the name and contact information for the owner of the associated property.

Provide the name(s) of the applicant(s).

Provide email address for main contact for the business.

Provide the applicant(s) contact information (which includes mailing address and phone number)

Provide the name and contact information of the Food Truck Owner (if different from above).

Indicate the type of vehicle to be used.

Provide the VIN Number for the Food Truck?

Provide the Food Truck's Licence Plate Number.

I/We, the registered owner(s) of the business, hereby acknowledge and certify that:

I/We have read and understand the requirements of the licensing, regulating and governing by-law, and the information pertaining to the business licence for which I/we have applied.

The information contained in this application is true and complete to the best of my/our knowledge and that failure to provide complete or accurate information may delay the licensing process;

The issuance of a licence under this by-law does not permit or condone violations of any by-law, statute or other regulation in effect in the Municipality, Province of Ontario or the Dominion of Canada, and it shall be my/our responsibility to ensure that such applicable legislation is complied with at all times;

The licence will be issued for a one (1) year period and all licences shall expire on December 31 of each year.

Provide your signature to indicate that you agree to the above terms.

Clear

Personal information on this form is collected under the authority of the Municipal Act, 2001, and will be used in the processing of your correspondence. Questions regarding the collection of this information should be directed to the Clerk at 1-833-793-3537 ext. 236.