Summer Street Food Program Expression of Interest: Village of Pemberton

Business name *

Owner name *

Phone *

Applicant name (if different to owner) *

Applicant phone *

Email *

Website

Business Location (if applicable)

Mailing Address *

Town *

Province *

Postal Code *

Describe business activities *

Number of employees (including owner/s)

Preferred location/s *

Please select all that apply

Den Duyf Park

One Mile Lake

Community Centre Parking Lot

Industrial Park (to be determined in consultation with vendor)

Preferred days of the week *

Please select all that apply
(The Summer Street Food Program runs from June 1 - September 30)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Additional comments

Describe what measures you will include to minimize your environmental impact (eg. compostable packaging, locally sourced food, recyclable materials) *

Attachments

Please attach qualifications and experience of the business, noting the role of local business owners and residents *

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Please attach a copy of the menu you intend to serve (please show how you will be supporting local suppliers and/or sourcing local produce) *

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VCH Permit *

Please attach a copy of your business's VCH Permit

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Please attach photos or sketches of the design and features of the portable vending cart, trailer or truck *

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Please attach a copy of the vendor's proof of insurance *

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Please attach a copy of the vendor's Waste Management Plan *

Please include an explanation of how the operator will comply with the Village's Wildlife Attractant Bylaw No. 684, 2011.

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Please attach two letters of reference *

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Payment

The licence fee of $300.00 is due upon submission of a Summer Street Food Program Application. Fees are non-refundable once a licence has been issued.

Online

Payments can be made online via OptionPay. Visit payment.optionpay.ca/village-of-pemberton for more information.

Under 'Expense Type' please select 'Business Licences'. Under 'Comments' please state "Summer Street Food Program".

Third party vendor fees apply. The fee structure can be viewed by clicking on this link: https://www.optionpay.ca/tiered-rate-table.php

In Person

Payments may be made in-person by debit, cash or cheque at the Village Office. The Office is open Monday to Friday 9am - 4pm (closed 12pm - 1pm for lunch).

Please attached a copy of your payment reciept

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Acknowledgement

I/We understand and will abide by the provisions set out in the Village of Pemberton Business Licence Bylaw No. 855, 2019.

Every Summer Street Food Vendor must: *

1. ensure their operation complies with the Village's Zoning Bylaw;

2. comply with any conditions imposed by the Village of Pemberton Fire Department;

3. not operate within six (6) metres of a fire hydrant; and

4. meet Provincial health regulations (VCH permit)

Summer Street Food Program vendors must ensure their portable vending cart, trailer or truck: *

1. is fully self-contained with no service connection;

2. is capable of being moved on their own wheels or be towed by another vehicle; and

3. is kept in good repair.

Freedom of Information

Personal information you provide on this form is collected pursuant to section 26 of the Freedom of Information and Protection of Privacy Act and will only be used for the purpose of processing the business licence application. Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of your personal information may be referred to Corporate and Legislative Services (corporate@pemberton.ca or 604-894-6135).

Declaration

Declaration *

I/We hereby make application for a licence in accordance with the particulars stated in this application, declare the above statements are true and will comply with each and every obligation contained in all laws and Bylaws now in force or which may hereafter come into force in the Village of Pemberton.

The Village reserves the right to suspend or cancel a business licence where the applicant has knowingly provided false information to the Village with regard to the operation, ownership or any other aspect of the business in question.

It is understood that the Business Licence fee is payable to the Village at the time of application. Fees for approved Business Licence applications are non-refundable.

Agree

Signature (please type your name to sign)

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