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Accessory to Food Shop Licence Application

New and Renewal Application

You must have a valid Food Shop Licence to apply.

Food Shop Licence Number

Applicant Information

First Name

Last Name

Home Address

Unit Number

City

Province

Country

Postal Code

Email Address

Applicant Phone Number

Business Information

Business Name

Business Address

Unit Number

City

Province

Postal Code

Business Phone Number

Description and location of your accessory to your food shop and goods and/or services to be offered

Please upload the following document(s) for your Accessory to Food Shop Licence application.

Commercial General Liability Insurance with a minimum of $1,000,000 (one million dollars)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I acknowledge that:

I apply for a new business licence and understand that licences issued are conditional on compliance by the licensee with all municipal by-laws, including, but not limited to, the Business Licensing By-law, the Zoning By-law and Property Standards By-law, and compliance with the all Provincial and Federal Laws and Regulations, especially the Health Protection and Promotion Act and the Fire Protection and Prevention Act.

I have read and understand the regulations pertaining to this licence category. I authorize the City of Oshawa to make any investigation regarding this application and authorize the release of records and information to the City of Oshawa provided such information is received and discussed confidentially. I declare that the information in this application is accurate, true and complete.

This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the City of Oshawa to process the Food Shop request. Questions regarding this collection may be directed to the City’s Information Access and Privacy Officer, City of Oshawa, 50 Centre Street South, Oshawa, Ontario, L1H 3Z7, 905-436-3311.