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2. Additional Locations for Mobile Food Vendors
   Each address a mobile food vendor intends to park needs to be reviewed. Please fill submit the addresses in which you intend to park at and serve.
4. Please List your Business License Number
   The license number is a three- or four- digit code found on your business license.
6. Business Name:*
7. Doing Business As (if applicable:
9. Mailing Address:*
10. City, State, Zip*
12. Name of Owner:*
13. Email Address:*
15. Please List the Addresses Where you Will be Doing Business*
17. E-Signature*
18. Date*
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field