Food Truck

Food Truck Permit
Will the Food Truck be at Multiple Locations?*

YesNo
Food Truck Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Food Truck Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Food Truck Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Owner's Name*

First NameLast Name
Property Owner's Number*
Please enter a valid phone number.
Name of Food Truck*
Owner of Food Truck*

First NameLast Name
Food Truck Owner's Email*
example@example.com
Food Truck Owner's Number*
Please enter a valid phone number.
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Food Truck Description:*
Will you be smoking, grilling or barbecuing within 50 ft of a building entrance?*

YesNo
Required Documents
Please attach the following documents:
- Site Plan
- Mobile Food Unit License from the Health Department
- Sales & Use Tax Permit from the State of North Dakota
- Copy of Liabilty Insurance
- Copy of Inspection from the Fire Department
- Affadavit from Property Owner & Building Tenants if applicable
  - needed if grilling, barbecuing or smoking within 50 ft of a building entrance
Required Documents
Site Plan*

Cancelof
Mobile Food Unit License from the Health Department*

Cancelof
Sales & Use Permit from the State of North Dakota*

Cancelof
Copy of Liability Insurance*

Cancelof
Copy of Inspection Report form the Fire Department*

Cancelof
Affidavit from Property Owner & Building Tenants*

Cancelof
Food Truck Regulations per City of Dickinson Municipal Code
I understand that per Section 50-76 of the City of Dickinson Municipal Code, my food truck can operate from May 1st to October 31st.*

Yes
I understand that per Section 50-76 of the City of Dickinson Municipal Code, I shall not set up chairs, tables or other temporary seating.*

Yes
I understand that per Section 50-76 of the City of Dickinson Municipal Code, I shall be responsible to remove any garbage, spills or stains or repair any damage resulting from my operations.*

Yes
I understand that per Section 50-76 of the City of Dickinson Municipal Code, dumping into the storm sewers shall be prohibited.*

Yes
I understand that per Section 50-76 of the City of Dickinson Municipal Code, my food truck shall not be left unattended or overnight.*

Yes
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Food Truck Permit

Required Documents

Required Documents