Fillable Form 4024 MOBILE VENDING PERMIT APPLICATION (City of Richmond Hill, Georgia)

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Form 4024 MOBILE VENDING PERMIT APPLICATION (City of Richmond Hill, Georgia)

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The Form 4024 MOBILE VENDING PERMIT APPLICATION (City of Richmond Hill, Georgia) form is 2 pages long and contains:

  • 1 signature
  • 7 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Richmond Hill, Georgia

BROWSE CITY OF RICHMOND HILL, GEORGIA (GA) FORMS

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1
MOBILE VENDING
PERMIT APPLICATION
PERMIT FOR CALENDAR YEAR: ________
N
ame of Business Owner: _____________________________________________________________
Home Address of Business Owner: _____________________________________________________
Phone Number of Business Owner: _____________________________________________________
Email of Business Owner: ____________________________________________________________
Base of Operation Business Name: _____________________________________________________
Base of Operation Physical Address: ____________________________________________________
Printed Name on Mobile Vending Unit: __________________________________________________
Base of Operation Phone Number: ______________________________________________________
Business Email: _____________________________________________________________________
Mobile Vending Unit Information: License Plate #: _________________________________________
Make: ________________________ Model: __________________________ Year: ________________
Type of Mobile Vending Unit: Food Truck Ice Cream Truck Mobile Retail Vendor
BUSINESS OWNER INFORMATION
MOBILE VENDING BUSINESS INFORMATION
Brief description of goods being sold:
2
The below documentation is required to qualify for a Mobile Vending Unit Permit and must be submitted
along with the application.
Copy of a current Business License from anywhere in the State of Georgia
Recent Photograph of the Mobile Vending Unit
Copy of Bryan County Dept. of Public Health Food Service Permit (Food Trucks only)
Copy of Georgia Dept. of Agriculture Permit (If Applicable)
Mobile Vending Unit Fire Safety Inspection Approval
Authorization for Background Check (Ice Cream Trucks only)
Mobile Vending Annual Permit Fee
By signing below, I acknowledge I have read, understand, and agree to comply with the City of Richmond
Hill Code of Ordinances for the operation of a Mobile Vending Unit and all other state laws and policies
governing Mobile Vending Units. I further acknowledge and understand I must obtain property owner
approval to operate on private property.
Mob
ile Vending Permits are valid for up to twelve months and expire on December 31st.
It is the responsibility of the permit holder to apply for and/or renew the annual permit.
P
ermit holders will receive a Mobile Vending permit decal from the City of Richmond Hill upon issuance of
a permit and must clearly display the decal in a visible location on the unit windshield at all times during the
permit year.
___________________________ _________________________ _________________
Printed Name of Applicant Signature Date
------------------------DO NOT WRITE BELOW THIS LINE / FOR STAFF USE ONLY---------------------------
PERMIT FEE: $200.00 Method of payment: Cash Card Check # ___________________
STAFF APPROVAL: Approved By: __________________________ Date: ____________________
Comments: _________________________________________________________________________
For more information contact our Zoning Administrator at (912) 756-3735 or astyer@richmondhill-ga.gov
REVISED 10-22-19
REQUIRED DOCUMENTATION AND LICENSES
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Form 4024 MOBILE VENDING PERMIT APPLICATION (City of Richmond Hill, Georgia)

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Completed 15 July 2020

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