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Name of Food Truck
Name of restaurant where food truck will report for servicing
food truck owner or agent
food truck owner mailing address
commissary owner or agent
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
As owner of commissary, I give permission for the above mobile food truck or cart to service the unit, store food and utensils and to store the unit on my property.
This field is not part of the form submission.
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