Type Full Name :
Sign With Hand
Last Name *
Phone # *
Name
ZIP
Address
Food Truck License Plate #
Email *
Block
By signing, I attest that the information contained herein is true and correct to the best of my knowledge and belief. I further testify my business is in compliance with all local, state, and federal laws, and may be reviewed by jurisdictions at the city, county, state, or government level. I understand this license cannot be transferred to a new owner or location without first notifying the county. If the information listed on this application changes in any way, I agree to immediately notify the county of such change. I further understand that, after this initial application, should I receive a business license, that license must be renewed on or before July 1 of every year. I understand I need to allow two weeks for processing an application.
Please attach any necessary documents
Business Details
Mailing Address
Registration Type *
January 1st, thru May 31st – the payment is only $50
June 1st-30th prorated
July 1st -December 31st $100
Annual Renewal $100
Mailing Address *
Restaurant Type (If Applicable)
Address 2
Mailing City, State, ZIP
Address
Are you registered in the State of Oregon? *
Phone # *
Business Launch Date
Business Name (DBA) *
Name
Industry Category (If Other)
Lot
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Emergency Contact Details
Building Owner/Property Management Details
Food Truck Model
State *
Federal ID #
Phone # *
Fee Schedule
Last Name *
City
Phone #
Industry Category
First Name *
Application Fee
Food Truck Make
Phone #
Physical Address
Certification
Attachments
State Business License Number
Applicant Signature *
Business Owner Details
State Registration #/ Holding Company
You can make payment for your application here: https://client.pointandpay.net/web/CurryCountyEconomicDevelopment.

When you are finished, remember to submit your application by pressing the Submit button below.

Mailing City, State, ZIP
Product or Service Provided *
First Name *
City *
Alarm Company Details
Hazards and other relevant information
Email
ZIP *
{[PNAME]}
Business Website/Facebook URL
Address where the business exists. If address is not available, select 'Non Resident or Address not Found'. *