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Name of Event: Dates of Event: (If applicable) (If applicable) Event Coordinator: 24-hour Phone: (If applicable) (If applicable) FOOD VENDING VEHICLE Trailer Vehicle Identification Number (VIN): (If applicable) Trailer License Number: (If applicable) Serial Number of Cart: (If applicable) Modesto Fire Department FIRE PREVENTION DIVISION 409 12th Street, Modesto, California 95354 Tel: (209) 571-5553 Fax: (209) 544-1652 FOOD VENDOR USING PROPANE PERMIT APPLICATION • For portable/mobile commercial food preparation operations using propane (LPG). Not for self-propelled food vending vehicles such as food trucks or mobile canteens. Address/Location Appliance Will Be Used: List (describe) below other cooking equipment covered by this permit if in addition to or other than a food vending vehicle: Other appliances (wok, grill, Kettle Korn, etc.): Attach additional sheet if needed. Quantity 1. 2. 3. “I certify that the above information is true and correct.” (Date) (Time) When Will Appliance Be Ready for Inspection? / Business Phone: 24-hour Phone: Business Owner’s Mailing Address: Name of Business Owner: Name of Business: Date Permit is to Start: (permit will be valid for one year unless sooner rescinded) • PERMIT FEE: $73.00 • Permit must be submitted at least seven calendar days prior to desired start date. Revised07/21/2020 services, programs, or activities. For more information, please visit the City of Modesto website at applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment Signature of Business Owner SIGN