CITY OF DUMAS MOBILE FOOD VENDOR APPLICATION

Business Owner Name*

Legal Name of Business or Entity*

Mailing Address – Number & Street*

City, State Zip*

Telephone # of Business*

Vehicle Identification Number (VIN) and description of Mobile Food Vending Unit*

Name, phone # and Driver’s License #s of business owner and all employees operating within the unit*

If applicable, attach a copy of the Business Charter or Articles of Incorporation, and a current listing of the directors, partners, or principles.

Proposed itinerary with route, vending locations and times:*

Contact name and phone # for unit while in route

If any meat (beef, pork, chicken, fish) or fat will be cooked in the mobile unit, and produce any grease laden particles a kitchen fire suppression system and kitchen ventilation system is required. Said system will require testing in the presence of a city fire marshal of designee.

Will there be any processes producing grease laden particles?*

Yes

Is there an operational, up to date K fire suppression system?*

Yes

Not Applicable

Is there an operational kitchen ventilation system?*

Yes

Not Applicable

Is there an operational, up to date ABC fire extinguisher?*

Yes

Not Applicable

Has the fire inspection by a city fire marshal or designee been conducted?(All MFV units require a fire inspection.)*

Yes

Attach a signed permission form, or notarized affidavit from all private property owners for all locations granting permission for unit placement. Please note that if any new locations are added, it is the responsibility of the business to update this list with City Hall. Any violations are subject to a fine of up to $2,000 per violation.*

List all addresses here:*

Attach a copy of your Texas Sales & Use Tax Permit:*

Sales Tax Number*

Attach a site plan where the unit will be located on each property*

Attach a signed affidavit with photo identification that each individual applicant: a. Has no unpaid civil judgements against him or her in any state of U.S. possession which arise from a business activity which would have been covered by this section if in effect at the time in the jurisdiction where such judgements are of record. b. A statement of all convictions in any state, the United States, or U.S. possession within the last ten (10) years.*

Type of License Requested (Each Mobile Food Vending Unit shall be permitted separately.)*

Annual ($200.00 for resident of Dumas, TX or $400 for non-resident of Dumas, TX)

Daily Permit ($45.00 per day)

Annual Mobile Food Vendor Unit licenses will need to be renewed every year. Upon renewal the applicant shall pay a renewal fee, as stated above, and update any changes in the permitting documentation upon permit renewal. The applicant must submit the application and renewal fee within 30 days before expiration of the permit or must reapply as a new applicant.

Number of Licenses Requested (Each Mobile Food Vending Unit shall be permitted separately.)*

I understand that I shall not have any of my Mobile Food Vendor Units located within the prohibited zone described in City of Dumas Ordinance 1156 § 2, and § 3 a. & b.

Yes

I received a copy of Ordinance No. 1176 and/or have reviewed the online version.

Yes

Driver's License #

Application Upload (Optional)

If you would like to pay by check or cash, please bring your payment to City Hall, 124 W. 6th Street, Dumas, TX 79029.

If you would like to pay your deposit by credit card, please fill out the information below. We will then run the card at City Hall and have your receipt available there or email you a receipt if you input your email address below.

Email Address

Full Name on Credit Card

Credit Card Type

Visa

Mastercard

AMEX

Discover

Credit Card Number

Expiration Date

Security Code (Three Digits on Back of Card)

Billing Zipcode for Card

BY CLICKING THE SUBMIT BUTTON, I AM CONFIRMING I HAVE READ AND UNDERSTOOD THE CITY OF DUMAS MOBILE FOOD VENDOR APPLICATION REQUIREMENTS, AND I ACCEPT THE TERMS. IF I HAVE FILLED IN THE CREDIT CARD INFORMATION, I AM AUTHORIZING THE CITY OF DUMAS TO CHARGE THE APPROPRIATE ANNUAL OR DAILY MOBILE FOOD VENDOR CHARGE TO THAT CREDIT CARD IMMEDIATELY.

Signature (please type your name to sign)*

Date*

Dumas, TX

Mobile Food Vendor Application

CITY OF DUMAS MOBILE FOOD VENDOR APPLICATION

City Hall

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