BENSALEM TOWNSHIP
Building and Planning Department
Office 215-633-3644 ▪ Fax 215-633-3753
2400 Byberry Road ▪ Bensalem, PA 19020
General Nature of Sales: Christmas Trees Flowers Fireworks
Other (explain):
Owner of Property:
Home Address of Property Owner:
Phone No: Email:
Tax Parcel No: Fax No:
Name of Established Business On Site:
Name of Applicant:
Phone No:
Name of Established Business: Fax No:
Address of Property Where Items Are To Be Sold :
Tax Parcel No.:
Items To Be Sold:
Date When Sales Will Begin: Date When Sales Will End:
Name of Person(s) Selling
Any of These Persons Have Previous Criminal Records? YES NO
If Yes, Provide Details for Each:
Current Employer(s) & Address:
Make & Model of Vehicle: Registration No:
Property Owner Signature:
Date:
(Required)
Approval Has Been Granted To:
For The Temporary Sales of Items on:
The following conditions are made part of this approval:
The OWNER of the established business is the ONLY person approved to sell items.
Permit is VOID two (2) days after the date of a holiday. Items, trash, material etc. must be removed immediately.
Failure to do so will affect future permits being approved.
Sales are only allowed where there will be ample off-street parking. Where there is any danger to public safety during the
course of the permit, the permit shall be revoked.
A copy of this permit will be sent to the Internal Revenue Service for appropriate taxing purposes.
All applicable personal information specified above shall be given for each helper, as individual licenses are required for each
helper/sales person.
Criminal background checks must be approved by the PA State Police. Copy and paste this link https://epatch.state.pa.us .
I,
have read, understand, and will comply with all the above regulations and conditions of this permit.
(insert name)
Signature of Temporary Seasonal Sales License Holder Date
A SIGNED COPY OF THIS APPLICATION MUST BE SUBMITTED PRIOR TO ISSUANCE OF PERMIT
Signature Director of Building & Planning Signature Fire Marshal Signature Director of Public Safety
Township of Bensalem Department of Building and Planning Rev 6/2016
TEMPORARY SEASONAL SALES
PPLICATION