Required fields are marked with asterisks (*)

Refreshment Vehicle License Application

The following MUST be FULLY COMPLETED in order to process the license(s) applied for and submitted along with the applicable fees.

Please ensure that you have read and understood Tay Valley Township's Refreshment Vehicle By-Law before continuing and have all of the necessary paperwork ready to submit along with your application. You will not have the ability to save the application once you have started. Once sumbitted, you will receive an email summary of your application.

*This is an application only, do not commence business until your license has been issued.

Personal Information

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, and will be used to determine compliance with the provisions of the Township Licensing By-Law. This information may be forwarded to various Township Departments and other agencies or organizations. Questions about this collection should be directed to the Township Clerk, 217 Harper Road., Perth, ON or by phone at 613-267-5353 extension 130 or by email at clerk@tayvalleytwp.ca.

Please select what vehicle you are applying for:

Chip Wagon

Mobile Canteen

Refreshment Cart

Please select what you are applying for:

New License

Renewal

Transfer

Proposed Date of Opening:

APPLICANT INFORMATION

Applicant Name:

Address:

City:

Postal Code:

Phone Number:

Email Address:

Applicant's Driver's License Number:

Name of Owner/Partner other than Applicant:

Partner's Address:

City:

Postal Code:

Phone Number:

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