1/23/18
BOROUGH OF COLLEGEVILLE
TRANSIENT VENDOR PERMIT APPLICATION
Vendor/Company Name: _________________________________________________________
Owner Name: ____________________________________________ Date: _________________
Mailing Address: _______________________________________________________________
Phone: _____________________________ Email: ____________________________________
24-Hour Contact Phone Number: ___________________________________________________
Address of Vending Location: _____________________________________________________
Property Owner Name: ________________________________ Phone _____________________
Address of Property Owner: _______________________________________________________
Intended Use: __________________________________________________________________
______________________________________________________________________________
Sale Start Date: ________________ Sale End Date: ________________
Permit duration is 14 days from the sale start date. A permit may be renewed at expiration only
one time with payment of an additional permit fee.
______________________________________________________________________________
Signature of Property Owner: ______________________________________________________
Signature of Transient Vendor Owner: _______________________________________________
Fee $125.00
Date Issued: __________________ Permit Number: _________________
Zoning Official: _______________________________________________________________
Borough of Collegeville
491 E. Main Street
Collegeville, PA 19426
610-489-9208 610-489-6661 Fax www.collegeville-pa.gov