Mobile Food Services Permit Application

Town of Burgaw

Mobile Food Service Permit Application
Mobile Food Services Ordinance
Checklist of Items Needed Prior to Submitting Permit Application

Names and Addresses of All Setup Locations and Property OwnersPrivate Property Owner Lease/Written Permission for Each PropertyWritten Permission if less than 100 feet from Existing RestaurantCopy of Vehicle or Trailer RegistrationN.C. Environmental Health PermitSimple Drawing/Map of the Property Showing Where the Food Truck will be LocatedPermit Fee ($250 per year)

Number of Requested Locations*
Max of Five (5) per Permit
Number of Locations

Sec. 8-252(c) - The food truck operator shall have the signed approval of the property owner for each location at which the food truck operates. This approval must be made available with the permit application. A Mobile Food Service permit allows permittee to operate at up to five (5) different properties. An applicant may apply for more than one (1) such permit.

Additional locations (with a maximum of 5) may be added at anytime during the permit period by submitting an "Additional Locations" Form.

Setup Location 1
Location/Address of Property*
Is this Property Located with 100 Feet from a Restaurant?*

NoYes
Sec. 8-253(b) - The food truck shall be positioned at least one hundred (100) feet from the customer entrance of an existing restaurant during its hours of operation, unless the food truck vendor provides documentation that the restaurant owner supports a closer proximity.
Upload Written Permission for Restaurant(s) with 100 Feet*

SEE MOBILE FOOD SERVICE REGULATIONS FOR MORE INFORMATION.
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Property Owner Name*
Property Owner Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number*
Please enter a valid phone number.
Upload Lease or Written Permission*

Cancelof
Site Plan/Layout Map*

Simple drawing of where the Food Truck will be located on the property
Cancelof

Setup Location 2
Location/Address of Property*
Is this Property Located with 100 Feet from a Restaurant?*

NoYes
Sec. 8-253(b) - The food truck shall be positioned at least one hundred (100) feet from the customer entrance of an existing restaurant during its hours of operation, unless the food truck vendor provides documentation that the restaurant owner supports a closer proximity.
Upload Written Permission for Restaurant(s) with 100 Feet*

SEE MOBILE FOOD SERVICE REGULATIONS FOR MORE INFORMATION.
Cancelof
Property Owner Name*
Property Owner Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number*
Please enter a valid phone number.
Upload Lease or Written Permission*

Cancelof
Site Plan/Layout Map*

Simple drawing of where the Food Truck will be located on the property
Cancelof

Setup Location 3
Location/Address of Property*
Is this Property Located with 100 Feet from a Restaurant?*

NoYes
Sec. 8-253(b) - The food truck shall be positioned at least one hundred (100) feet from the customer entrance of an existing restaurant during its hours of operation, unless the food truck vendor provides documentation that the restaurant owner supports a closer proximity.
Upload Written Permission for Restaurant(s) with 100 Feet*

SEE MOBILE FOOD SERVICE REGULATIONS FOR MORE INFORMATION.
Cancelof
Property Owner Name*
Property Owner Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number*
Please enter a valid phone number.
Upload Lease or Written Permission*

Cancelof
Site Plan/Layout Map*

Simple drawing of where the Food Truck will be located on the property
Cancelof

Setup Location 4
Location/Address of Property*
Is this Property Located with 100 Feet from a Restaurant?*

NoYes
Sec. 8-253(b) - The food truck shall be positioned at least one hundred (100) feet from the customer entrance of an existing restaurant during its hours of operation, unless the food truck vendor provides documentation that the restaurant owner supports a closer proximity.
Upload Written Permission for Restaurant(s) with 100 Feet*

SEE MOBILE FOOD SERVICE REGULATIONS FOR MORE INFORMATION.
Cancelof
Property Owner Name*
Property Owner Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number*
Please enter a valid phone number.
Upload Lease or Written Permission*

Cancelof
Site Plan/Layout Map*

Simple drawing of where the Food Truck will be located on the property
Cancelof

Setup Location 5
Location/Address of Property*
Is this Property Located with 100 Feet from a Restaurant?*

NoYes
Sec. 8-253(b) - The food truck shall be positioned at least one hundred (100) feet from the customer entrance of an existing restaurant during its hours of operation, unless the food truck vendor provides documentation that the restaurant owner supports a closer proximity.
Upload Written Permission for Restaurant(s) with 100 Feet*

SEE MOBILE FOOD SERVICE REGULATIONS FOR MORE INFORMATION.
Cancelof
Property Owner Name*
Property Owner Address*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Email
example@example.com
Property Owner Phone Number*
Please enter a valid phone number.
Upload Lease or Written Permission*

Cancelof
Site Plan/Layout Map*

Simple drawing of where the Food Truck will be located on the property
Cancelof

My Products

Mobile Food Service Yearly Permit FeeMobile Food Service Yearly Permit Fee

$250.00

Total

$0.00

Town of Burgaw