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By-law 99-2007 - Chip Wagon Licensing Page 8
SCHEDULE "A" to By-Law 99-2007
MUNICIPALITY OF LAMBTON SHORES
APPLICATION TO OPERATE A CHIP WAGON
New Business ___
Renewal ___
APPLICANT-BUSINESS IDENTIFICATION
Name of Applicant(s) :
__________________________________________
Name of Unit Owner (if different from above)
________________________________________________________________
Address of Applicant _______________________________________________
Mailing Address (if different) _________________________________________
Town: ___________________________________________________________
Postal Code: _____________________________________________________
Telephone Number: Home ______________________________
Business ____________________________
Type of vehicle to be used: ______________________________
VIN Number:
______________________________
Proposed location: ____________________________________
Owner of the property: _________________________________
------------------------------------------------------------------------------------------------------------
I/We, the registered owner(s) of the business, hereby acknowledge and certify
that:
I/We have read and understand the requirements of the licensing, regulating and
governing by-law, and the information pertaining to the business license for which
I/we have applied.
The information contained in this application is true and complete to the best of
my/our knowledge and that failure to provide complete or accurate information
may delay the licensing process;
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