This application shall be submitted for each mobile food unit as required by the Marion Municipal Code. Please complete all sections of this application and provide all required documentation. Please contact the City Clerk's Office with any questions.

1

APPLICANT (BUSINESS OWNER) INFORMATION

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APPLICANT (BUSINESS OWNER) INFORMATION

Business Owner Name:

Business Owner Address:

Business Owner City:

Business Owner State:

Business Owner Zip:

Business Owner Phone:ext.

Business Owner Email:

2

BUSINESS INFORMATION

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BUSINESS INFORMATION

Business Name:

Mobile Food Unit Name (if different than above):

Business Mailing Address:

Business Mailing City:

Business Mailing State:

Business Mailing Zip:

Business Home Base Address (where unit will be serviced or stored when not in operation):

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