Fillable Temporary Food Permit Application Coordinator (City of Stafford, TX)

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Temporary Food Permit Application Coordinator (City of Stafford, TX)

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U.S.A. forms for City of Stafford, TX

BROWSE CITY OF STAFFORD, TX (TX) FORMS

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CITY OF STAFFORD – CODE DIVISION
2702 South Main Street
Stafford, Texas 77477-5599
PHONE: (281) 261-3950
FAX: (281) 499-9744
EMAIL: consumerhealth@staffordtx.gov
TEMPORARY FOOD PERMIT APPLICATION
EVENT COORDINATOR
Event Name:
Event Address:
Set Up Date:
Set Up Time:
Event Begin Date:
Event End Date:
Phone:
Coordinator Address:
No. of Participating
Vendors:
Phone:
Phone:
NOTE: The owner of the above business is responsible for knowing and adhering to all laws applicable to this operation. If this operation
fails to meet the requirements of those laws, enforcement up to and including closing of the operation and loss of the permit can occur.
Signature of Applicant:
Printed Name:
Date:
FEES DUE UPON APPROVAL
Non-Profit Organizations are exempt from the Coordinator
Fee. City of Stafford organized temporary events will be exempt
from all fees. A copy of tax exempt status must accompany the
application.
ANY UNAUTHORIZED OR UNPERMITTED VENDOR FOUND
PARTICIPATING IN AN EVENT SHALL BE CHARGED WITH A
VIOLATION, AND ORDERED TO LEAVE THE EVENT PREMISES
Event Coordinator Fee
$150.00
Booth / Vendor Each Day
_____ vendor(s) X _____ days X
$25.00
Late Fee
$50.00
TOTAL DUE
Accepted by:
Receipt Number:
Approved by:
Date:
To make a secure payment online by credit card, please visit: https://certifiedpayments.net/index.aspx?BureauCode=4230396
Email completed application & payment receipt to: ar@staffordTX.gov & consumerhealth@staffordTX.gov
CITY OF STAFFORD – CODE DIVISION
2702 South Main Street
Stafford, Texas 77477-5599
PHONE: (281) 261-3950
FAX: (281) 499-9744
EMAIL: consumerhealth@staffordtx.gov
TEMPORARY VENDOR LIST
Name of Food Business :
Name of Contact :
Email Address:
Telephone # :
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Temporary Food Permit Application Coordinator (City of Stafford, TX)

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Completed 26 July 2020

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