City of Emmetsburg Mobile Food Unit Application
Application/Permit Year
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Name of Business
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Name of Primary Contact
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Permanent Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Email
example@example.com
Description of Mobile Food Unit
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Description of Kitchen Facilities, Cooking Facilities, Preparation Area, and Safety Features
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Mobile Unit Size (Size of Vehicle and/or Trailer)
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Length
Width
City
State / Province
Postal / Zip Code
Location of Mobile Food Unit in Emmetsburg
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Owner of Property where the Mobile Food Unit will be
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License Fee and Required Information:
License Fee: $500 (expires 12/31 of each year)
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My $500 license fee has been submitted to City Hall
I agree to submit my license fee to City Hall after completing this form (Send/deliver to Emmetsburg City Hall, 2021 Main Street, P.O. Box 417, Emmetsburg, IA 50536)
Copy of Inspection Certification
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Photos of Front, Side, and Back of Unit
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Written Consent of Property Owner
*
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Vehicle Registration
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Surety Bond: $1,000
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Insurance Requirements:
General Liability: $500,000 Per Occurrence/$1,000,000 Aggregate
Property Damage: $500,000
Proof of Insurance
*
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Signature of Applicant
*
Preview PDF
Submit
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