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Mobile Food Vendor Application

  1. 2015 Mobile Food Vendor Application

  2. Choose One

  3. Minimum Submittal Requirements

  4. A Mobile Food Vendor permit must be issued to the Applicant from the Williamson County & Cities Health District (WCCHD) prior to approval of this application.

  5. Include employee name and their Food Handler Permit number.

  6. Has the applicant or any employees listed been found guilty of one or more criminal offenses involving crimes against property and / or a felony by any Court in this State or any other State?

  7. This completed form must be notarized.

  8. Before me, the undersigned Notary Public, on this day personally appeared ______________________________, who, after being duly sworn, stated under oath that he / she has read the above statements and that every statement contained herein is within his / her personal knowledge and is true and correct.

  9. _______________________________________

  10. _______________________________________

  11. on this______ day______ of , 20____ .

  12. ____________________________________

  13. Mobile food vendor minimum requirements city ordinances must be met including but not limited to the following:

  14. City Ordinances

  15. When this application has been deemed complete by Staff of the Planning Department, the applicant will be contacted. Application approval is based upon compliance with the Mobile Food Vendor Ordinance and with WCCHD requirements. Please upload proof of liability insurance and WCCHD Permit or email directly to kmitchell@libertyhilltx.gov.

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  17. This field is not part of the form submission.