APPLICATION FOR SIDEWALK VENDOR PERMIT

APPLICATION FOR SIDEWALK VENDOR PERMIT

CITY OF ANAHEIM
Anaheim Municipal Code - Chapters 4.10, 4.52, 12.12, 13.08, 14.32
Type of Application:

New Application Renewal
Expiration Date of Previous Permit:

Month Day Year
Date
Open/Start Date of Business:

Month Day Year
Date
PART 1: NAME AND ADDRESS OF BUSINESS/VENDOR
Business Name: *
Business Address: (Physical Address Only CANNOT Be a P.O. Box) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mailing Address: (If different from above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Phone Number: *
Cell Phone Number:
Email:
example@example.com
PART 2: OWNER INFORMATION
Name: *

First Name Middle Name Last Name
Alias or Maiden Name:

First Name Middle Name Last Name
Alias or Maiden Name:

First Name Middle Name Last Name
Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Phone Number:
Place of Birth: *

Street Address

Street Address Line 2

City State / Province

Country
Date of Birth: *

Month Day Year
Date
Sex: *

Male Female
Age: *
Height: *
Weight: *
Hair Color: *
Eye Color: *
Driver's License Number: *
State: *
Resale Permit Number: *
Social Security or Tax ID Number:
Other Licenses Held:
State:
PART 3: EMPLOYMENT HISTORY

Name and Address of your previous employer in the last 5 years. Please begin with the most recent employer. If you require additional space, please submit additional sheets.
1. Present Employer:
Job Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
2. Employer:
Job Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
3. Employer:
Job Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
4. Employer:
Job Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
5. Employer:
Job Title:
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Start Date:

Month Day Year
Date
End Date:

Month Day Year
Date
PART 4: EMERGENCY CONTACT

Name of Person to Notify In Case of an Emergency
Name & Relationship: *

First Name Last Name Relationship
Phone Number
Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
PART 5: DETAILED BUSINESS DESCRIPTION
Please select what type of permit you are requesting: *

Stationary Sidewalk Vendor Roaming Sidewalk Vendor
Please describe below in detail the types of goods or wares offered for sale, days & hours of operation and the location(s) you plan on conducting business: *
PART 6: Additional Information
Have you ever been arrested because of an alleged violation of any law or ordinance? *

Yes No
Have you ever been convicted of a crime or misdemeanor other than a parking violation? *

Yes No
Has your driver’s license ever been suspended or revoked? *

Yes No
If you answered yes to any of the above questions, please explain in detail below (giving dates and locations):
PART 7: Required Documents for Submittal of this Application
Valid California Department of Tax and Fee Administration Seller’s Permit: *
California Valid Identification: *
(Driver’s license or Identification Card)
Orange County Health Care Permit:
(Required for the vending of food items)
Site Plan of location(s) for Stationary Sidewalk Vendors including size of cart, trailer or station with size of canopy if applicable and distance from curb to station: *
(Plan must be legible in an 8 ½” x 11” format)
Trash Collection Plan describe how you will maintain sanitary conditions and contain all refuse until properly disposed of by Sidewalk Vendor:
Business License Application:
PART 8: The following must be initialed by the Business Owner/Vendor
I have read and understand Chapter 4.10, 4.52, 12.12, 13.08 and 14.32 of the Anaheim Municipal Code: *

Clear
Sidewalk Vending prohibited unless a valid Sidewalk Vendor permit and valid business license has been issued by the City of Anaheim: *

Clear
Sidewalk Vending prohibited in or upon grounds of any stadium, convention center, government office building, police station, fire station, library or other public facility owned or operated by the City of Anaheim: *

Clear
Sidewalk Vending prohibited in the Anaheim Resort District on the following designated public streets and sidewalks listed below:
- Ball Rd. from west side of Walnut St. to Palm St. east of Harbor Blvd.
- Disney Way from Harbor Blvd. to east side of Clementine St.
- Katella Ave. from Walnut St. to east side of Clementine St., except for the south side of Katella
  Ave. between Walnut St. and West St.
- Convention Center Dr./Convention Center Walkway from Katella Ave. to the south side of
  Convention Way.
- Convention Way from West St. to the east side of Harbor Blvd.
- West St./Disneyland Dr. from Magic Way to south side of Katella Ave.
- Harbor Blvd., from Ball Rd., to the south side of Convention Way
- Manchester Ave. from Harbor Blvd. to 600 ft. easterly of Harbor Blvd.
*

Clear
Sidewalk Vending prohibited within two (2) hours before, during and two (2) hours after events at the Angel Stadium of Anaheim, the Honda Center and The City National Grove of Anaheim on the following designated public streets and sidewalks listed below:
- Orangewood Ave. from west side of 57 Freeway to 300 feet west of State College Blvd.
- State College Blvd. from 300 feet south of Orangewood Ave. to the north side of Katella Ave.
- Katella Ave. from west side of State College Blvd. to the Santa Ana River Trail.
- Douglass Rd. from the entrance to the Angel Stadium of Anaheim to Cerritos Ave.
- Dupont Dr.
- Rampart St. from Orangewood Ave. to Dumaine St.
- Gene Autry Way from S. Chris Ln. to entrance of the Angel Stadium of Anaheim.
*

Clear
Stationary Sidewalk Vending is prohibited from vending in a Public park that is subject to a concessions agreement that exclusively permits the sale of food or merchandise in that Public Park: *

Clear
Stationary Sidewalk Vending is prohibited in any location zoned residential: *

Clear
Sidewalk vending is prohibited within the immediate vicinity of a permitted certified farmers’ market or permitted swap meet during the hours of that certified farmers’ market or swap meet: *

Clear
Sidewalk vending is prohibited within the immediate vicinity of any area designated for a temporary special permit for the duration of the temporary special permit: *

Clear
Sidewalk Vendors shall maintain sanitary condition and contain all refuse until properly disposed of by the Sidewalk Vendor: *

Clear
Sidewalk Vendors shall comply with the federal American with Disabilities Act of 1999 and other disability access standards, including but not limited to allowing for a minimum width of at least thirty-six (36) inches of accessibility on any sidewalk: *

Clear
The business shall also be in conformity with all other city, state and federal laws: *

Clear
PART 9: CERTIFICATION
I hereby certify under the penalty of perjury that the information given is true and correct. I understand that providing false information or withholding information, including any criminal record, is grounds for denial or revocation of my permit and may subject me to criminal prosecution. I do hereby authorize the City of Anaheim, its agents and employees to seek verification of the information contained on this application. I further understand that I may not conduct the activity applied for until a permit has been granted, and that a copy of the City Ordinances regulating Sidewalk Vendors is available to me in the City Clerk's Office or over the Internet at www.anaheim.net (Chapter 4.10, 4.52, 12.12, 13.08, and 14.32 of the Anaheim Municipal Code.
Print Name and Title: *

First Name Last Name Title
Signature: *

Clear
Date:

Month Day Year
Date
Should be Empty:

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APPLICATION FOR SIDEWALK VENDOR PERMIT

PART 1: NAME AND ADDRESS OF BUSINESS/VENDOR

PART 2: OWNER INFORMATION

PART 3: EMPLOYMENT HISTORY

PART 4: EMERGENCY CONTACT

PART 5: DETAILED BUSINESS DESCRIPTION

PART 6: Additional Information

PART 7: Required Documents for Submittal of this Application

PART 8: The following must be initialed by the Business Owner/Vendor

PART 9: CERTIFICATION