STREET TRADING LICENCE APPLICATION FORM CAUSEWAY COAST AND GLENS

DATE NAME OF GUARDIAN STREET ADDRESS CITY STATE ZIP
ENTER DATE ENTER NAME OF ALLEGED PERPETRATOR ENTER STREET
RECIPIENT NAME COMPANY 0000 STREET ADDRESS ADDRESS 2 CITY

[ENTER DATE] [ENTER NAME OF PARENT] [ENTER STREET ADDRESS]
(YOUR NAME) (YOUR STREET ADDRESS) (CITY
0 THE WORLD BANK 1818 H STREET

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STREET TRADING LICENCE APPLICATION FORM CAUSEWAY COAST AND GLENS






Street Trading Licence

Application Form







CAUSEWAY COAST AND GLENS BOROUGH COUNCIL



APPLICATION / RENEWAL OF A STREET TRADING LICENCE

*** PLEASE READ THE FOLLOWING IMPORTANT INFORMATION***


Please find enclosed for your information: -

  1. A Street Trading Licence application form.

As a condition of all Street Trading Licences granted by Causeway Coast and Glens Borough Council, you will be required to have a current Public Liability Insurance Certificate which covers you in relation to public liability for those street trading activities applied for. This is not required at this application stage but should your application be successful then an insurance certificate will be required prior to trading.

Separate applications are required for each STATIONARY / TEMPORARY trading site.



Stationary licences can only be granted for streets or locations included within the Designating Resolution.



The application form must be completed in BLOCK LETTERS using BLACK INK.









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APPLICATION/RENEWAL/VARIATION OF A STATIONARY STREET TRADING

LICENCE



** The application form must be completed in BLOCK LETTERS using BLACK INK

TITLE: MR/MRS/MISS ____________________


FULL NAME: ________________________________________________________________________________


HOME ADDRESS: ____________________________________________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________


POSTCODE: ____________________________ TEL NO: __________________________________________


BUSINESS ADDRESS (if different from above ): ____________________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________


POSTCODE: ____________________________ TEL NO: ___________________________________________


DESCRIPTION OF ARTICLES TO BE SOLD: _____________________________________________________









DESCRIPTION OF VEHICLE OR STALL: _______CSM STALL____________________


DIMENSIONS OF VEHICLE OR STALL: ________3M X 3M________________________



DO YOU OWN THE VEHICLE OR STALL: NO


IF NOT, GIVE NAME & ADDRESS OF THE OWNER:


____________CAUSEWAY COAST & GLENS BOROUGH COUNCIL ____________________________


_____________________________________________________________________________________________













STATIONARY OR TEMPORARY LICENCE



EXACT POSITION OF (naming street) SITE OR LOCATION:


_______________CAUSEWAY SPECIALITY MARKET ____________________________________


_____________________________________________________________________________________________





THIS SECTION APPLIES TO THOSE WHO WILL BE SELLING FOOD


ARE YOU REGISTERED WITH ENVIRONMENTAL HEALTH FOR FOOD PRODUCTION: YES / NO


IF YES, PLEASE PROVIDE DETAILS ( i.e. name of Local Authority where registered, date of last inspection)


______________________________________________________________________________


______________________________________________________________________________


______________________________________________________________________________



HAVE YOU ANY FOOD HYGIENE TRAINING: YES / NO

STREET TRADING LICENCE APPLICATION FORM CAUSEWAY COAST AND GLENS

In connection to this application for the grant, renewal or variation of a Stationary / Street Trading Licence, if you provide information which you know to be false, you will be prosecuted for that offence. On conviction you are liable to a maximum fine of £1000.


I certify that I have read and understood the above statement and that all of the above information contained in this application is correct to the best of my knowledge.



APPLICANT’S SIGNATURE: ___________________________________________________________


DATE: _________________________________




STREET TRADING LICENCE APPLICATION FORM CAUSEWAY COAST AND GLENS



FOR OFFICE USE



DATE OF APPLICATION RECEIVED: ______________________________________________



63621 BANK STREET GREELY ONTARIO 6138211844 6138211466(FAX)
8 THE WORLD BANK 1818 H STREET
S364A080198 SYRACUSE CITY SCHOOL DISTRICT 725 HARRISON STREET


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