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Step One

Mobile Food Unit Type (select one)
1. Unrestricted ($275)
2. Restricted ($150)
3. Limited ($100)
Type of Food to be Offered
Mobile Food Unit Name
Location(s) or Placement of Unit for Operation (attach separate sheet if necessary)
Upload Location / Placement Attachment if Necessary
Mobile Food Unit Owner’s Name & Mailing Address
Mobile Food Unit Operating Hours & Days
TX Sales & Use Tax Permit Number (attach Certificate copy)
Upload Certificate Copy
Mobile Food Unit Owner Email Address
Mobile Food Unit Owner Phone Number
Additional Responsible Party Name
Additional Responsible Party Phone Number
Property Owner Name & Mailing Address
Property Owner Email Address
Business Type
1. Proprietorship
2. Partnership
3. Corporation/LLC
Mobile Food Unit Number of Employees
Mobile Food Unit Make / Model/ Year
Mobile Food Unit Color
Plate Number & State
Mobile Food Unit VIN Number
Business Mailing Address for Renewal Notice
By signing and submitting this application, I attest that all the information contained in this application is true and correct to the best of my knowledge. I acknowledge that the permit applied for is subject to all provisions of the orders and ordinances of the City of Denison and subject to the statues and rules adopted under the statues of the State of Texas governing food service establishments, retail food stores, mobile food units, and roadside food vendors. A permit may be revoked for non-compliance.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Applicant Signature
Date
Date
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Step Two

Authority to Release Information
I hereby authorize you to release any information in your files pertaining to my current or previous law enforcement and/or criminal justice records. I hereby release you, as the custodian of such records and any law enforcement agency or criminal justice agency, including its officers, employees or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or any attempt to comply with it. I am also furnishing my date of birth on a voluntary basis to facilitate the location of records in connection with this release. Should there be any question as to the validity of this release, you may contact me as indicated given.
Release to the City Clerk of the City of Denison, Texas
Applicant Name
Applicant Date of Birth
Phone Number
Email Address
Street Address
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Applicant Signature
Notary Public to Complete
Subscribed & Sworn Before Me on
Date
Date
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Signature, Notary Public
Seal Notary Public
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Written Permission from Property Owner

I am the owner of one or more of the properties described in the attached application for a Mobile Food Unit Permit issued by the City of Denison. I confirm that I have given my express permission to the Mobile Food Unit operator submitting the application to operate accordingly at the following property or properties that I own
Property #1
Address(es)
Property Owner Printed Name
Mailing Address
Email Address
Phone Number
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Property Owner Signature
Property #2
Address(es)
Property Owner Printed Name
Mailing Address
Email Address
Phone Number
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Property Owner Signature
Property #3
Address(es)
Property Owner Printed Name
Mailing Address
Email Address
Phone Number
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Property Owner Signature
Locations in the Central Area District Require a Conditional Use Permit. Attach additional sheet if necessary.
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Application for Mobile Food Unit Permit

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Step Two

Written Permission from Property Owner

Mobile Food Unit Application Checklist

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