2. 
4. Date of Application*
   Date of Application
6. APPLICANT INFORMATION
8. Applicant Organization*
9. Phone Number*
11. Contact Person*
13. Address*
15. City
16. State
17. Zip Code
19. Montgomery County License No.*
21. Date of Issue*
    Date of Issue
22. Date of Expiration*
    Date of Expiration
24. Valid proof of a Montgomery County Venor's License must accompany this application before we will issue a Chevy Chase Village Vendor's License. We will issue no license without this proof.
28. Chevy Chase Village Code of Ordinances Section: 19-5 License Term and Fees
30. (a) All licenses issued pursuant to this Chapter shall expire on the first June thirtieth (30th) to occur after the issuance of such license.
32. (b) For each license required by the preceding section, each person, corporation or agent shall pay a permit fee per annum, in advance, for each vehicle or person soliciting or vending in the Village. The permit fee shall be established by the Board of Managers in an amount not to exceed the reasonable cost of adminstering and enforcing this Chapter.
36. Number of persons and/or vehicles requiring a Village License?*
    Please attach a list of those persons and/or vehicles involved in vending activity for your organization. Also include the vehicle registration number and driver's license number for all vehicles and drivers involved.
38. Anticipated hours of vending activity within the Village?*
    PLEASE NOTE: Vending/soliciting is only permitted between the hours of 9:00 a.m. and 9:00 p.m. The Village Code does not permit vending/soliciting on Sunday.
40. Applicant Signature
41. Date*
    Date
45. Fees
46. Permit Number
47. Staff Signature
49. Date Paid
    Date Paid
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

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