Street Stall Application/Renewal

VEHICLE AND TRAFFIC ACT 1999, SECTION 56C

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 Suburb Post Code

Phone(Required)

Untitled(Required)

New Application

Renewal

Business Name

Months for which this permit is sought?(Required)

i.e. February, March, April

Trading Days(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Trading Times(Required)

i.e. 9.00am - 3.00pm

Vehicle Type

if any

Rego No#

Description of goods to be sold(Required)

i.e. apricots, cherries, potatoes, flowers

Origin of goods to be sold(Required)

i.e. Where grown, purchased from, manufactured etc

Proposed location of where goods are to be sold(Required)

Map showing proposed location of street stall(Required)

Max. file size: 64 MB.

(Draw and upload - Include road names, distances to intersections and width of road reserve)

Copy of Certificate of Currency of Public Liability Insurance(Required)

Max. file size: 64 MB.

Applicant Signature(Required)

Date

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