Food Truck Permit Application

Please note: A non-refundable $25 permit fee is required to process your Food Truck Permit Application. Your application will not be reviewed until payment is received. Instructions for submitting payment will be provided after form submission.

Business Name (DBA)(Required)

Business Owner Name(s)

Business Address

Business Phone Number(Required)

Email Address(Required)

Business License Number(Required)

Federal EIN(Required)

State Tax ID Number(Required)

Food Truck Name

Health Department Permit Number(Required)

Do You Have Liability Insurance?(Required)

Yes

Do You Agree to Comply with All Local Ordinances?(Required)

Yes

Signature (type your full name)(Required)

Date

Bradner Events

Brush Pick-Up

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