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Mobile Food Establishment - Operator License

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  2. City of Middleton Mobile Food Establishment - Operator Application

    Pursuant to Middleton General Ordinances 7.01

  3. Have you held a previous license in Middleton?*
  4. Applicant Information
  5. Are you a Wisconsin Resident?*
  6. Arrests and Convictions

    List all offenses for which you have been charged or convicted. This list is to include all felony, misdemeanor, forfeiture, and ordinance violations, including traffic citations. The omission of offenses will result in the denial of your permit. 

    Renewals: Since the filing of your last application, have you been convicted of any offenses for violation of any federal, or state laws, or any ordinances of any county or municipality? 

  7. If yes, complete below
  8. Business Information
  9. Please attach the following to your application
  10. Not more than one year old

  11. Payment Method (see descriptions below)*

    If this operator license payment was made at the time of the mobile food application, select "Payment included with Moblie Food Application".  

    If this operator license application is being made after the initial Food Cart Permit Application was submitted and paid for, you can mail a check to our office at 7426 Hubbard Avenue, Middleton, WI  53562, or contact the City Clerk at lburns@cityofmiddleton.us to make payment online.

  12. I have read and agree with the ordinances of the City of Middleton pertaining to the licensing and regulating of mobile food establishments in the City of Middleton. I agree to abide by these and all other ordinances in the City and the laws of the State of Wisconsin. I affirm that I have made complete and true answers to each question and understand that incomplete or false answers may result in denial or revocation of permit. I authorize a review of and full disclosure of any and all records, files, and reports, which include any police contact as well as arrests. I understand that if this license is not issued, fees that have been paid will not be refunded.
  13. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
  14. Leave This Blank:

  15. This field is not part of the form submission.