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Application For Refreshment Vehicle License

By-Law 2019-6, Section 151 (1) of the Municipal Act, 2001 S.O.

Name:

Mailing Address:

Telephone (Business):

Telephone (Home):

Email:

Name of business:

Type of business:

Location of business:

Proposed date of business opening:

Declaration

I, the applicant, agree to abide by the terms and conditions of the Municipality of Centre Hastings By-law Number 2019-16 and amendment to license, regulate and govern vehicles from which refreshments are sold and consumption by the public and for revoking any such licenses and further that I understand the requirements.

Signature of Applicant:

Clear

Date of signature:

This is an application only - do not commence business until your license has been issued by the Municipality of Centre Hastings.