Temporary Food Stall Application

Mobile Shops/Temporary Premises/Stalls Application Form

**not to be used for events**
Applicant name (nominated person responsible and accountable for the stall): *
Please provide your full name
Business/Trading Name:*
Contact address:*

Street Address

Street Address Line 2

CityState

Postcode
Email:*
example@example.com
Phone Number:*
Please enter a valid home or mobile number
Proposed site location:*
Please enter the street address/description of where you would like to trade from
Proposed dates of trade:*
Type of goods for sale:*
Name of the Local Government where the food business is registered (if not the Shire of Nannup):
e.g. City of Busselton, Town of Cambridge etc.
If your food business is registered outside the Shire of Nannup, please upload a copy of your current Food Business Registration Certificate.

Cancelof
Please provide details of how you will be dealing with the following food safety issues:
Food protection (both during transport and operation of the stall):*
Refrigeration of food (both during transport and operation of the stall):*
Cooking or reheating method (for readily perishable foodstuffs):*
Handling of food (eg. use of gloves, tongs etc):*
Separation of food and money handling:*
Hand washing facilities:*
If you intend to trade outside a business premises, the Shire requires that you obtain the approval of the adjacent shop owner(s) nearest the trading location. Have you obtained the approval of the adjacent business owner(s)?*

YesNoNot Applicable
Name of adjacent business owner(s) (if applicable):
Contact telephone number for adjacent business owner(s) (if known):
If you intend to trade on private property the Shire requires that you obtain the approval of the property owner. Have you obtained the approval of the property owner?*

YesNoNot Applicable
Name of property owner (if applicable):
Contact telephone number of property owner:

For the 2024/25 financial year, the fees payable to the Shire of Nannup for a permit to trade within the Shire are as follows:

Temporary Trader Single Day Permit	$35 per day
Temporary Trader Annual Permit (1 day of trade per month)	$160 per year
Temporary Trader Annual Permit (1 day of trade per week)	$230 per year
Temporary Trader Annual Permit (>1 day of trade per week)	$490 per year

Please note that in order to trade as a food business you must be registered in the local government area in which you normally reside or where your mobile premises is usually garaged. If you are not registered then further fees may need to be paid to your local government in addition to the above.

How would you prefer to pay your application fee to the Shire of Nannup?*

Please email an invoicePlease contact me by telephone
Please note that your application fee is due no less than 7 days before you intend to trade. If the fee has not been paid, you will not be issued with a permit to trade.
Applicant's Signature*

Clear
Should be Empty:

Mobile Shops/Temporary Premises/Stalls Application Form

Please provide details of how you will be dealing with the following food safety issues: