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Mobile Food Vendor ApplicationMarshal’s Office Environmental Health 1400 Schertz Parkway Schertz, TX 78154 210-619-1650 Schertz.com Environmental Health 2016/2017 Mobile Food Vendor Permit Application PLEASE FILL OUT ALL INFORMATION: OWNER/OPERATOR: ____________________________________________________________________________________________________ STREET ADDRESS: _______________________________________________________________________________________________________ CITY, STATE, ZIP CODE: __________________________________________________________________________________________________ DRIVERS LICENSE# (ATTACH CURRENT COPY): ______________________________________________________________________ PHONE: __________________________________ EMAIL: ________________________________________________________________________ DOING BUSINESS AS (DBA): _____________________________________________________________________________________________ TYPE OF VENDING OPERATION: ________________________________________________________________________________________ DESCRIPTION OF ITEMS BEING SOLD: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ VEHICLE BEING REGISTERED: __________________________________________________________________________________________ VEHICLE DESCRIPTION: _________________________________________________________________________________________________ VIN & LICENSE PLATE #: ________________________________________________________________________________________________ COMMISARY ADDRESS & PERMIT # (IF REQUIRED): ______________________________________________________________________________________________________________________________ HEALTH INSPECTION $150.00 FIRE INSPECTION $25.00 -PAYMENT OF LICENSE FEE WILL NOT CONSTITUTE APPROVAL FOR OPERATION UNLESS ALL MOBILE VENDOR FOOD ORDINANCE STANDARDS ARE MET. -PERMIT FEES ARE NON-REFUNDABLE AND EXPIRE ON SEPTEMBER 30 ANNUALLY -CALL 210-619-1650 TO SCHEDULE PAYMENT/INSPECTION -INSPECTION WILL BE CONDUCTED IN THE PARKING LOT OF BUILDING #1 @1400 SCHERTZ PARKWY, SCHERTZ, TX _________________________________________________________________________________________ All of the information contained in this application is true and correct to the best of the applicant’s knowledge and belief. Applicant acknowledges that the permit applied for shall be subject to all provisions of the orders and ordinances of the City of Schertz and shall be subject to all provisions of the statues and rules adopted under the statues of the State of Texas governing food service establishments. Applicant Signature: _____________________________________________________________Date: ____________________ Office use only-Permit#: ____________________________ Date Pd.: ______________________________________ Ck/CC