Laserfiche WebLink
J <br />Name of Vendor: <br />Mailing Address: <br />Type of Outdoor Cooking Booth: <br /> <br />Date and Location of Function: <br />Signature:.Date: <br />'• Revised 10/12/2021TS <br />^EPART^ <br />MOBILE COOKING VENDORS <br />Acknowledgement Form <br />CHY OF MANTECA <br />ARE DEPARTMENT <br />1154 S. Union Road - Manteca, CA 95337 <br />209-456-8300 - www.mantecafire.org <br />Print Name and Title:L z } z>. n <br />tTWIantocr® <br />l> A/ajt> Aq (PRINT NAME) hereby represent and warrant that I am the <br />authorized agent of ~l J (PRINT NAME OF <br />VENDOR) with the authority to act on its behalf. <br />On behalf of said vendor, I have read and understand the regulations associated with outdoor <br />cooking booths stated in the California Fire Code and summarized in the OUTDOOR <br />ASSEMBLY EVENT GUIDELINES, and agree to comply with the regulations at the location and <br />on the date(s) specified above. <br />I understand and agree that the City of Manteca Fire Marshal (and/or representative thereof) <br />may inspect said vendor's cooking booth at any time to enforce the regulations. <br />AY// <br />diifc <br />fir irW/Zi/') {Kz.s-k/X fA fy <br />p i <br />Telephone Number: \ <br />cL- A