Mobile Food Vendor Permit Application (continued)
Permit number
Temporary (1–3 days) Seasonal (4–120 days) -- Not available
in City parks or residential districts
Date issued: Date of expiration
Staff signature Date permit re-issued
Sta Use Only
This document is available in alternate formats upon a 72-hour request. Please call 763-593-8006 (TTY: 763-593-3968) to make a
request. Examples of alternate formats may include large print, electronic, Braille, audiocassette, etc.
Fees
$40 per day per vehicle $150 per seasonal permit (not available in City parks or residential districts)
Rules & Regulations (Please check each box to indicate you have read and understand these conditions.)
A City permit is required to park a food truck anywhere in Golden
Valley.
All vendors must be inspected by an authorized agency and possess a
current mobile food vendor vehicle license from Hennepin County. A
copy of your vendor license must be attached to the permit application.
All vendors operating on City property (parks) or in public right-of-way
must provide an insurance rider listing the City of Golden Valley as an
additional insured on the policy for the permitted dates of operation.
No refunds will be given for any reason once permit has been issued.
Permits are valid only for the dates and times specified.
Residential properties are limited to two permits in a 12-month period.
Vendors found operating without a permit or in areas not designated in
the list above will be subject to a citation.
Vendors must park:
in a designated parking lot and must not impede normal traffic flow
at least 10 feet from all structures
at least 5 feet from property lines
with service window facing curbside if located in City street
Vendors may not park on the grass or pathways (unless special permis-
sion authorized).
Vendors must provide trash and recycling receptacles and keep sites
free of waste. Vendors are responsible for clean-up and trash removal
generated from their operation in the immediate area.
Vendors will be assessed for all damages or extra trash clean-up within
the park generated by their operation (if required).
Required Attachments (Please check each box to indicate you have attached the following documents to the permit application.)
Sketch illustrating where food truck will be located using Hennepin County Interactive Property Map (see City website instructions for details). If
located in City right-of-way, sketch must include measurements to demonstrate that there is adequate space available.
Hennepin County Mobile Food License
*Insurance rider (required only for food trucks that will be located on City-owned property or public right-of-way) evidencing the applicant’s public
liability, food products liability, automobile liability, and property damage insurance and that the City is or will be named as an additional insured on
such insurance for all the permitted days of operation. Such insurance shall be maintained without change for the duration of the permitted days of
operation. The permit will not be processed without the proper insurance certificate.
Signature
I ____________________________________________________________________________________________________________________________________ shall hold harmless the City, and their officers and employees, and
shall indemnify the City, and their officers and employees for any claims for damage to property or injury to persons which may be occasioned by any
activity carried on under the terms of the permit.
Signature: __________________________________________________________________________________________________________________________________
(print applicant’s name)
Planning | 7800 Golden Valley Road, Golden Valley, MN 55427-4588
763-593-8095 | TTY: 763-593-3968 | www.goldenvalleymn.gov | planning@goldenvalleymn.gov
Parks and Recreation | 316 Brookview Parkway S, Golden Valley, MN 55426
763-512-2345 | TTY: 763-593-3968 | www.goldenvalleymn.gov
11/17
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