Restaurant License Application
City Clerk’s Office
Please submit this application with any related applications (liquor licenses, etc.)
and a check for $25.00 (registration fee) to:
City of Winooski
27 West Allen Street
Winooski, VT 05404
Restaurant Information
Name _______________________________________________
Address _____________________________________________
Hours of Operation ____________________________________
Owner Information
Name(s) _____________________________________________
Residential Address ____________________________________
Phone _______________________________________________
Email ________________________________________________
Print Name ______________________________Title_________
Signature ______________________________Date __________
click to sign
signature
click to edit