Phone #
ZIP
Food Truck License Plate #
State employer ID #
Block
City
Gross Receipt
# of Spaces
Business Details
Registration Type
# of Employees
# of Rentals
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(559) 897-6520
{[AWEBSITE]}
Address 2
# of Professionals
Business Name
State Sales Tax ID
Business Type (If Other)
Application Fee
Lot
Business Start Date
Estimated Amount Due
Food Truck Model
Business Type
Driver's License # / Social Security # or Other ID*
Itinerant Vendors Duration
Food Truck Make
Address
State
Description
{[PNAME]}
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  • Contacts
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Last Name
Name
Address
Email for Invoices, Renewals & Receipts
Type of Ownership
First Name
Mailing City, State, ZIP
Address
Phone #
Email
Name
Emergency Contact Details
Building Owner Details
State
Phone #
Last Name
Phone #
First Name
Business Owner Details
Phone #
Title (if applicable)
Mailing Address
City
Address where each individual consents to receive service of process per AB2184, Sec. 16000.1(a)(2) and 161001(a)(2)- If different than mailing address*
Email
ZIP
License Type
Contractor Type
Phone #
Name
Email
License #
License Expiration
Contractor Details
Business Stated Above Was Sold On
No Longer Doing Business in Kingsburg
Business License Renewal Details
New Owner's Name
Ceased or Sold Business:
New Owner's Address
New Owner's Phone #
Type Full Name :
Sign With Hand
Please attach any necessary supporting documents.
I declare, under the penalty of perjury, that this form has been examined by and to the best of my knowledge and belief it is a true, correct and complete statement of facts.
Certification
Attachments
Applicant Signature