City of Hillsboro
Application for Mobile Food Sales
Name
Address
Height Height Color of Eyes Hair Color
Do you wear glasses? Do you have a mustache? Are you a citizen of the U.S.?
Make of car Year Type
Have you ever been convicted of an offense other than a minor traffic violation? If so, give dates.
Are you addicted to narcotics or alcohol?
Have you ever been licensed to solicit anywhere in. Highland County, Ohio? If yes, give dates and municipality names.
Have you been refused a license to sell? If yes, give municipalities name and dates.
Have you ever had a license revoked? If yes, give dates and issuing authorities’ name.
I DO SOLEMNLY SWEAR THAT THE ANSWERS AS GIVEN HEREIN HAVE BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE ARE TRUE, CORRECT, AND COMPLETE.
Payment Received By: Payment Date:
Applicant Signature Date
Safety and Service Director
Please attach a copy of all State and County permits/licenses to application.
Please attach a copy of driver license.
(Ord. 2020-16, passed 12-14-2020)