CITY OF STAFFORD CODE DIVISION
2702 South Main Street
Stafford, Texas 77477-5599
PHONE: (281) 261-3950
FAX: (281) 499-9744
EMAIL: consumerhealth@staffordtx.gov
TEMPORARY FOOD PERMIT APPLICATION
BOOTH / VENDOR
NO HOME-PREPARED FOODS ALLOWED
(Except those items approved under the Texas Cottage Food Law)
Check All that Apply: Non-Profit Vendor Concessionaire (Meals)
Retail Vendor Booth Vendor (Sampling & Sales)
Cottage Food Law Vendor (Non TCS Food Items)
Other: _______________________________________
Event Name:
Event Location:
Date of Event:
Name of Booth:
Operator of Booth :
Cell #:
Operator Email:
Approved Food Items Source
Address:
Telephone #:
(Please attach copy of Mfr. license)
A MINIMUM OF ONE CERTIFIED FOOD HANDLER MUST BE IN CHARGE OF THE BOOTH AT ALL TIMES. LIST
FOOD HANDLER AND ATTACH COPIES OF CERTIFICATES.
NOTE: The owner of the above business is responsible for knowing and adhering to all laws applicable to this operation. If this operation
fails to meet the requirements of those laws, enforcement up to and including closing of the operation and loss of the permit can occur.
Signature of Applicant:
Printed Name:
Date: