Company Name and/or
Applicant Name
Application for Mobile Shop and Hawkers Permit
Name of Business
Postal Address
Vehicle Registration
Number
Contact Person
Mobile
Phone
Email
Please note: mobile shops are not permitted to operate within the Waitomo District Council area except for events and street markets
that have the prior permission of Council.
1. Please outline the type of goods to be sold or type of trade you are wanting to undertake.
2. Do you intend to sell food
3. Do you intend to sell alcohol
Yes No
Yes No
If you answered yes to either of these questions, please attach a
copy of your current food registration and/or alcohol licence
indicating the area it covers or a completed application for an
alcohol licence and/or food registration.
Please note: this permit does not permit you to serve food or alcohol. A separate food registration and alcohol licence is required.
4. Proposed location if known
5. Outline the date of rst trading and frequency of trading
6. Indicate the proposed hours of operation
7. Outline what provision you have made for the following services/facilities, if applicable:
Potable (i.e. wholesome, clean) water
Waste water collection and disposal
Handwash facilities
Power source (e.g. electricity, gas)
Parking
Other, please specify
Checklist:
Payment for permit (75% refundable if application declined)
Photo(s) of Mobile Shop
Copy of current alcohol licence or application for alcohol licence (if applicable)
Copy of current food registration or application for food registration (if applicable)
As part of the processing of your application, a warranted ocer of the Waitomo District Council may need to conduct a site visit
to view the mobile shop or Hawkers stand.
Conditions of Licence Mobile Shops
Conditions for the operation of mobile shops and Hawkers is contained within the Waitomo District Council Public Places Bylaw 2009.
The following conditions will apply to all permits issued under Public Places Bylaw 2009.
1. Selling being permitted from the kerbside only, not on any loading zone or part of any road or service lane designated
in any Bylaw of the Waitomo District Council.
2. Selling being prohibited within 50 metres of an intersection or curve in the road that would reduce visibility.
3. Selling being prohibited from any designated parking area or parking space, unless approved by Council.
4. The mobile or travelling shop or Hawkers stall shall not be placed in such a manner as to cause a trac hazard.
5. Selling being restricted to 50km per hour areas.
6. Selling shall be permitted only during daylight hours and for maximum period as determined by Council.
7. Selling being prohibited from any xed position in any place or on any reserve vested in the control of the Waitomo
District Council unless approval is provided by Council.
8. Shall not impede pedestrian footpaths.
Customer Signature
Fees Due
Date
Applications can be delivered to Customer Services, Queen Street, Te Kuiti; posted to Environmental Health,
Waitomo District Council, P.O. Box 404, Te Kuiti ; or emailed to info@waitomo.govt.nz
Oce Use Only
Receipt No.
GL Code
Permit Valid From
Sta Signature
To
Date
PAYMENT OPTIONS
Note: For your application to be processed your payment must be received together with this form and requested
information.
You can make your payment at the Waitomo District Council Oce which is based in Queen Street, Te Kuiti. Payment can be made
by cash, cheque, eftpos or credit card.
Please send your cheque together with this application form to: Waitomo District Council, P.O. Box 404, Te Kuiti 3941.
You can make an online payment through your internet or phone banking by using the information below.
Account Information Account details
Name of account Waitomo District Council
Account number 03 – 0449 – 0070201 - 00
Particulars (to appear on HCC statement) Debtors
Reference (to appear on HCC statement) Business Trading Name
Pay in Person
Pay by Post
Pay by Direct Credit