Fillable APPLICATION FOR FOODTRUCK/TRANSIENT MERCHANT APPLICATION (City of Jordan, MN)

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APPLICATION FOR FOODTRUCK/TRANSIENT MERCHANT APPLICATION (City of Jordan, MN)

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The APPLICATION FOR FOODTRUCK/TRANSIENT MERCHANT APPLICATION (City of Jordan, MN) form is 2 pages long and contains:

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City of Jordan – Application for Food Truck Permit Last Updated 8/25/2020 Page 1
APPLICATION FOR FOODTRUCK/TRANSIENT
MERCHANT APPLICATION
CITY OF JORDAN
210 EAST FIRST STREET
JORDAN, MN 55352
952-492-2535
Fee and Application Required Yearly
Applicant Information
Full Name: ___________________________________________ Phone: __________________________________
Address: _____________________________________________ Email: ___________________________________
Date of Request: _________________ Applicant’s Driver’s License #_____________________________________
Full Legal Name of any and all business operations owned, managed, or operated by applicant:
_____________________________________________________________________________
Address: _________________________________________________ Phone Number: _______________________
Brief description of where the applicant wishes to do business and or sell goods:
_____________________________________________________________________________________________
Dates which the applicant intends to do business_____________________________________________________
What property is it intended to be utilized (by a transient merchant) and written permission of the owner of
property will be required if it’s private property:
Private commercial parking lot (location :________________________________________)
Private industrial parking lot (location: _________________________________________)
Private residential (catering only) (location: ______________________________________)
Public street(s) (dedicated parking stall) (location: ________________________________)
Names and addresses of any individuals who will selling items to the public:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Description and license plate number for any vehicle to be used:
_____________________________________________________________________________
Statement as to whether or not the applicant has been convicted within the last five years of any felony, gross
misdemeanor, or misdemeanor for violations of any state or federal Statutes of any local ordinance, other than
traffic offenses:________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
City of Jordan – Application for Food Truck Permit Last Updated 8/25/2020 Page 2
_____________________________________________________________________________________________
List of most recent Cities where the applicant has done business: _______________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
A general description of the items to be sold or services to be provided: __________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Any additional information? :_____________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
APPLICANT NOTE: Make check/money order payable to: City of Jordan
210 E. 1
st
Street
Jordan, MN 55352
APPLICANT’S SIGNATURE: ________________________________________________
Applicant has attached a copy of the following to this Application:
1. A certificate of insurance that complies with the insurance requirements of City of Jordan Code §
124.03(c)(1)-(2);
2. Written consent of the private property owner identified above, if any;
3. A copy of each related license or permit granted by Scott County, Minnesota or any other agency
pursuant to Minnesota Statutes, Chapter 157 or 28A; and
4. Applicant’s state sales tax identification number.
I HAVE RECEIVED FROM THE ABOVE APPLICANT THE AMOUNT INDICATED IN PAYMENT FOR
FOODTRUCK/TRANSIENT MERCHANT LICENSE:
Total Amount Due: $____________Received by: ________________Date:______________
POLICE CHIEF APPROVAL: ___________________
POLICE CHIEF DENIAL: _______________________
REASON: ____________________________________________________________________
______________________________________________________________________________
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APPLICATION FOR FOODTRUCKTRANSIENT MERCHANT APPLICATION (City of Jordan, MN)

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Completed 9 February 2021

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