CITY OF DENISON APPLICATION FOR MOBILE OR ROADSIDE VENDOR LICENSE

Transcription

1 CITY OF DENISON APPLICATION NOTICE TO APPLICANT: The information contained in the application as set forth above and attached will be reviewed for the City of Denison by the Chief of Police or his designated representative, the City Zoning Official, and the City Health Inspector (if applicable). The applicant s Texas limited sales and use tax permit number will be verified through the State Comptroller s office, and if a license is granted, all sales conducted within the City of Denison shall be subject to state and local taxes paid to the Comptroller for the City of Denison s one percent (2%) local sales tax to be credited to this City s account by the Comptroller, regardless of the licensee s home base of business operation. Applicant should be familiar with the entire contents of the local ordinance regulating mobile or roadside vending as this ordinance will control whether or not a license is granted. The applicant must pay, in advance, to the City Secretary a license fee of $ if applicant lives in Denison or a fee of $ if the applicant lives out the city of Denison. In the event a license is issued, it shall expire in one (1) year from the date of issuance. Date submitted to City Secretary : Applicant s Signature : Applicant s Telephone Number: SECTION I 1. Name of Applicant: 2. Residence Address (Street) (City) (State) (Zip Code) 3. Length of Occupancy: 4. Previous Place of residence: (Street) (City) (State) (Zip Code) 5. Business Name and Address:

2 _ (City) (State) (Zip Code) 6. Last business occupation address of Applicant: (Street) (City) (State) (Zip Code) 7. Provide name, residence and business addresses, and length of occupancy of any other person (s) who will be involved in the conducting of business in Denison, Texas under this license: 8. Current license number and place of issuance (state) of any motor vehicle(s) to be used in vending operation: Describe vehicle to be used: 9. Driver s license number or valid state identification card number and state of issuance: 10. Texas limited sales and use tax permit number: 11. Fully describe merchandise to be offered for sale: 12. Date(s) and hours that merchandise will be displayed during the period the license will be in force Street name and address number:. 14. Local description (Lot, Block, and Addition, or description carried on Grayson County Tax Appraisal District records):

3 SECTION II PROPERTY FROM WHICH MERCHANDISE IS TO BE DISPLAYED 16. Name and tax billing address of owner of property: 17. Describe the portion of the property to be used for the display of merchandise and transaction of vending operations (including area which may be used by customer for off street parking): STATE OF TEXAS COUNTY OF GRAYSON AFFIDAVIT OF OWNERSHIP I, the undersigned, being the applicant herein named for a Mobile or Roadside Vendor s License, do hereby state that I am the lawful owner of the merchandise to be offered for sale under the license herein requested or, in the alternative, that I am the duly authorized representative of the owner of the merchandise hereinabove described, and that I am authorized to offer the same for sale to the public at the place and under the circumstances fully set forth in this application. Applicant SUBSCRIBED AND SWORN to before me this the day of, 20. Notary Public in the State of Texas

4 CERTIFICATE OF PROPERTY OWNER As part of the application procedure for a mobile or roadside vendor s license, the applicant must obtain the following certification, and return the completed form to the Chief of Police. Be sure that all blanks are filled in. NAME OF APPLICANT: I,, am the owner of the property described in this application for mobile and roadside vending license, and I acknowledge that I have reviewed the completed application forms and have granted permission to (Applicant(s) to use the property for the purpose set forth and for the term duration stated. Signature Telephone Number (Address) (City) (State) (Zip Code)

5 CERTIFICATION OF ZONING OFFICIAL As part of the application procedure for a mobile or roadside vendor s license, the Applicant must obtain the following certification, and return the completed form to the Chief of Police. Be sure that all blanks are filled in. NAME OF APPLICANT: I,, (Zoning Official or Representative) do hereby certify that I have approved (Applicant /s) request to sell merchandise at in accordance with the mobile or roadside vendor s ordinance Chapter 15, Code of Ordinances of the City of Denison. (location) is properly zoned for such activity. This certification is effective from to. Signature of Zoning Official THE CITY OF DENISON, TEXAS 500 W. Chestnut St. Denison, Texas Telephone: (903)

6 RELEASE OF INFORMATION AUTHORITY TO RELEASE INFORMATION I hereby authorize you to release any information in your files pertaining to my current or previous law enforcement and/or criminal justice records. I hereby release you, as the custodian of such records and any law enforcement agency or criminal justice agency, including its officers, employees or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. I am also furnishing my date of birth on a voluntary basis to facilitate the location of records in connection with this release. Should there be any question as to the validity of this release, you may contact me as indicated below. RELEASE TO THE CITY SECRETARY, CITY OF DENISON, TEXAS. SUBSCRIBED AND SWORN BEFORE ME THIS DAY OF 20. Applicant Name: Date of Birth: Street Address: Phone: City, State, Zip: Signature: SUBSCRIBED AND SWORN BEFORE ME THIS DAY OF, 20. NOTARY PUBLIC COMMISSION EXPIRES

7 CERTIFICATION OF POLICE OFFICIAL As part of the application procedure for a mobile or roadside vendor s license, the applicant must obtain the following certification, and return the completed form to the Chief of Police. Be sure all blanks are filled in. NAME OF APPLICANT: I, (Chief Of Police or Designated Representative) do hereby certify that I have approved the application of (Applicant (s) to sell merchandise at the following location in accordance with the provisions of Chapter 15, code of Ordinances of the City of Denison. This certification is effective from to. Signature of Police Chief THE CITY OF DENISON, TEXAS 500 W. Chestnut St. Denison, Texas Telephone: (903)

8 CERTIFICATION OF HEALTH DEPARTMENT OFFICIAL As part of the application procedure for a mobile or roadside vendor s license, the applicant must obtain the following certification, and return the completed form to the Chief of Police. Be sure that all blanks are filled in. NAME OF APPLICANT: I, (County Health Official or Representative) do hereby certify that I have approved a request by to sell merchandise with the mobile or roadside vendor s ordinance according to Chapter 18, Code of Ordinances the City of Denison. I certify that the merchandise to be sold and the location of the business will not constitute a health hazard. This certification is effective from to. Signature of Health Official Telephone:

9 CERTIFICATION OF PHYSICIAN As part of the application procedure for a mobile or roadside vendor s license, the applicant must obtain the following certification, and return the completed form to the Chief of Police. Be sure that all blanks are filled in. NAME OF APPLICANT: I, (Medical Professional) do hereby certify that I have approved a request by to sell merchandise with the mobile or roadside vendor s ordinance according to Chapter 15, Code of Ordinances the City of Denison. I certify that the individual listed above (applicant) is free of contagious, infectious or communicable diseases. This certification is effective from to. Signature of Medical Professional Telephone: