FOR CITY USE ONLY
Verified Marion County Health Dept. License Employee Initials
Date Application Received: / / $40.00 Fee Paid Receipt #
CITY OF STAYTON
362 N. Third Ave., Stayton, OR 97383
APPLICATION FOR MOBILE FOOD UNIT LICENSE
NOTICE TO APPLICANTS: Please type or print legibly. Application form must be filled out COMPLETELY.
Incomplete application forms will be returned to the applicant without further consideration for approval. False or misleading
statements or withholding pertinent information will be cause to deny approval or issuance of a license or permit to conduct
business within the City of Stayton. Applicant must attach a copy of their Marion County Health Department License and pay
the $40 Application fee.
BUSINESS INFORMATION
Business Name:
Business Location:
Business Mailing Address:
City State Zip
Phone Number: (____) _____ - _________
Home / Office Address:
City _____________________ State _______ Zip _____________
Phone Number: (____) _____ - _________
Brief description of goods/merchandise to be sold:
_____________________________________________________________________________ ____
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PERSONAL INFORMATION
Vehicle(s) to be used while doing business in Stayton:
Year Make Model Color License Plate No. State of Issue
_______ _____________ ___________ __________ _____________ _________________
_______ _____________ ___________ __________ _____________ _________________
_______ _____________ ___________ __________ _____________ _________________
(Please list additional vehicles on separate sheet)
I certify that the facts and statements contained in this application are true and correct. I have read the
restrictions on locating my mobile food unit on the reverse side and agree to comply.
_________________________________________ ____/______/_______
Signature of Applicant Date
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signature
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Restrictions on Location of Mobile Food Units
(a) Mobile food units may only operate in zones where eating and drinking
establishments are allowed as a permitted use or use permitted after site plan
review or in the parking area of a manufacturing business for the purpose of
primarily serving the employees of that manufacturing business.
(b) Mobile food units shall not operate or be located in a public right-of-way. Mobile
food units may operate on city-owned property provided the licensee is granted a
site specific permit which shall be displayed conspicuously on-site.
(c) A mobile food unit may only operate in an approved parking lot, or other hard
surface area, where the off-street parking requirements for all uses or activities
served by the off-street parking area are met. The unit shall be located such that the
queue of customers at an ordering or serving window do not block a public
sidewalk. The customer queue shall allow a continuous through pedestrian zone of
at least five feet in width along the sidewalk.
(d) The location standards above do not apply to mobile food units which operate as a
vendor within an approved community event or where a street closure permit is
granted.
Operational Standards.
(a) A mobile food unit, including all items associated with the operation, shall not
obstruct pedestrian pathways, driveways or drive aisles of any off-street parking
area and shall not be located in the sight distance triangle or so as to create a traffic
or safety hazard.
(b) All mobile food units which are parked in a stationary location for a period of 24
hours or longer shall provide screening for all conduit, tanks, and storage areas
from all public areas and streets by sight-obscuring fencing and/or temporary
landscaping and skirting shall be provided along the perimeter of the mobile food
unit.
(c) Mobile food units may not be permanent structures and must remain capable of
being moved, with wheels attached.