Mobile Vendor License Application FY2021/2022

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APPLICATION FOR A MOBILE VENDOR LICENSE FY2021/2022

APPLICATION FOR A MOBILE VENDOR LICENSE FY2021/2022

After you have completed the application, you will be redirected to the payment center to pay your license fee. Your application will not be complete until the license fee is paid.

SECTION A

Business Name:                                                                     

Applicant Name:                                                                                                                                    

Address:                                                                          

City:                  

State:                  

Postal Zip Code:                          

Telephone Day:               

Telephone Evening:                   

Email: 

                                                    

SECTION B

Vehicle Description:

Make:            

Model:                      

Year:            

Color:                 

Tag:                      

VIN #:          

                                                                                   

Driver’s License Information

Driver’s License State:    

Driver’s License Number:                                             

Driver’s License Expiration:

 

SECTION C

Nature of Goods:   Mobile Vendor Permit is Limited to pre-prepared and pre-wrapped ice cream, ice cream products, or other frozen novelties  fresh fruit, sealed single serving beverage containers or soft drinks, juice or other nonalcoholic beverages sold from a motor vehicle operating with a national sanitation foundation approved cold plate freezer system

ALL Applications must include:

  • $ 150.00 License Fee                (non-refundable)
  • Health Department Decal
  • Prince George’s County Vendor License
  • Valid” Driver’s License”        will be photo copied
  • Valid Vehicle registration      will be photo copied

 

I understand that as a Mobile Vendor I may not:  Obstruct vehicular or pedestrian traffic: Enter upon sidewalks or foot paths:  Enter upon any no parking area or loading zone: Stop or stand any vehicle to interfere with the normal flow of traffic:  Block driveways, double park on roadway and violate any vehicle law.

I hereby attest under penalty of perjury that the information in this application is true and correct to the best of my knowledge, that I am in compliance to all applicable Federal, State and local laws and regulations. I understand any false or misleading information provided in this application may be grounds for denial or revocation of the issued Mobile Vendors License. 

THE LICENSE FEE ISSUED UNDER THIS APPLICATION IS $150.00, PAYABLE TO: CITY OF NEW CARROLLTON. ONCE YOU HAVE SUBMITED THE APPLICATION, YOU WILL BE AUTOMATICALLY REDIRECTED TO THE PAYMENT CENTER TO PAY YOUR LICENSE FEE. YOUR APPLICATION WILL NOT BE COMPLETE UNTIL THE  FEE IS PAID.

Applicants Signature: 

Date: 



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