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FULL PACKET_2020-12-01
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FULL PACKET_2020-12-01
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11/30/2020 4:26:39 PM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
12/1/2020
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Exhibit 2 <br />City of Santa Ana <br />Parks, Recreation and Community Services Agency <br />Pushcarts in the Park Mobile Food Vending Program <br />MOBILE FOOD VENDOR APPLICATION <br />A completed application, payment and copies of all requested materials must be submitted <br />together for consideration. Incomplete or late submittals will not be accepted. Neither the filing <br />of this application, nor the payment of the permit fee, shall authorize the vending from, operation <br />or management of a pushcart until such permit has been granted or renewed (SAMC 26-12B). <br />Please type in blue or black ink. <br />APPLICANT INFORMATION <br />FIRST NAME AND MIDDLE INITIAL <br />LAST NAME <br />HOME ADDRESS <br />APT/SUITE/UNIT <br />CITY <br />STATE <br />ZIP <br />EMAIL ADDRESS <br />PRIMARY PHONE NUMBER <br />SECONDARY PHONE NUMBER <br />DATE OF BIRTH CA DRIVERS LICENSE NO. <br />BUSINESS INFORMATION <br />OWNER'S NAME (IF DIFFERENT THAN BUSINESS NAME <br />ABOVE <br />TYPE OF BUSINESS ENTITY (SELECT ONE) <br />u Sole Proprietor <br />a Partnership <br />a Corporation <br />a Limited Liability Co. <br />IF A CORPORATION, PLEASE COMPLETE THE FOLLOWING <br />Attach a copy of the articles of incorporation <br />Corporate Name and Number <br />Date of Corporation <br />Place of Corporation <br />BUSINESS ADDRESS <br />APT/SUITE/UNIT <br />CITY <br />STATE <br />ZIP <br />EMAIL ADDRESS <br />PRIMARY PHONE NUMBER <br />SECONDARY PHONE NUMBER <br />19F-4 <br />
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