Municipal License - Mobile Dessert / Food Establishment Application

Municipal Code, Chapter 335 | Ordinance 2017-01

Application Process

Complete the following application accurately - printable versions are also available or in the Clerk's Office.
- If you are unsure about how to respond to any questions on this form, check with the City Clerk for clarification.
Applicant must submit a current driver's license, copy of their state-issued business license, and a photograph of the unit either as uploads in the following application, emailed to clerk@richalandcenterwi.gov, or delivered to the Clerk's Office.
$50 License Application fee is required prior to obtaining the license - online payments are accepted.

Review of your application

The Richland Center Police Department will perform a background check to verify the information you have provided.
The city may require that additional information, appropriate to the specific type of license requested, be submitted with this application or as a supplement to this application prior to consideration of license issuance.
The City Clerk will issue your license in as timely of a manner as is possible once it is approved.
Issued licenses are valid through December 31st of the calendar year.

Supporting Documents

Mobile Dessert / Food Establishment Municipal License Application (844 KB)

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License You Are Applying For *

Mobile Dessert Establishment

Mobile Food Establishment

Applicant Information

Last Name *

First Name *

Middle Initial *

Driver's License Number *

Residence Street Address *

City, State, Zip Code *

Mailing Address

if different than above

Phone Number *

Email *

Other Identifying Names

maiden name or aliases, etc.

Business Information

Business Name *

DBA Name

if applicable

Street Address *

City, State, Zip Code *

Phone Number *

Business Email

State License Number *

Sales Tax Number *

Are you a non-profit organization? *

Yes

Tax-Exempt Number

Your Position Title *

Goods to be sold *

Location(s) where unit will be operated

Vehicle Information

License Plate Number *

Make & Model *

Year *

Color *

The undersigned, by signing this application, hereby authorize and consent to such inquiry and/or investigation as the City of Richland Center deems necessary to determine whether this applicant and/or the application meets all requirements of the ordinances of the City for the issuance of said license. I further certify I understand that any material falsification in the application may be basis for denial of the application or the revocation of any license issued by the city pursuant to this application.

Applicant Virtual Signature *

Applicant must provide the following items to complete the application:

Copy of Driver's License

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

Copy of Business License

issued by the State of Wisconsin
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

Photograph of Unit

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

City Clerk / Treasurer

Contact Information

Address:
City of Richland Center Municipal Building
450 South Main Street
Richland Center, WI 53581

Phone:
(608) 647-3466

Fax:
(608) 647-8360

Hours:
Monday - Friday:

8:00 AM to 4:30 PM

View Full Contact Details