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Online Form - Application for Trading in Streets and Public Places

Please fill out all sections of this form. Applications need to be submitted to the Town’s Environmental Health services at least 2 weeks before the event or licences may not be granted.

Full name, address, telephone number and email address of applicant *

Business/Organisation name and address *

Full name, address and telephone number of any assistants to be engaged for trading pursuant to the licence *

The desired event and its location in which trading is to be carried out *

Description of vehicle/stall etc used for trading (e.g. serving table, eskies, rego No. etc) *

Describe the provided hand washing facilities *

Describe how temperature control is ensured (i.e. food below 5˚C or above 60˚C) *

Proposed days and hours of trading *

Type of food/goods/services and/or items sold/supplied *

Signature and Terms

Note on application

$50 application and a licensing fee may be applicable to this application.

Application Details
Time Duration	Cost	Account
1 day or part thereof licensing fee	$60.00	Account: 1R07021000.087
1 week or part thereof licensing fee	$140.00	Account: 1R07021000.087
1 month or part thereof licensing fee	$270.00	Account: 1R07021000.087
1 year or part thereof licensing fee	$2000.00	Account: 1R07021000.087

Should your application be declined you will be notified in writing and the paid licence fee will be refunded.

I have read and agree to the above terms *

I have read and agree to the above terms.

Signature/Name of Applicant *

Date *

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