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FOR OFFICE USE ONLY CASE NO 1 1 . 90 °1 3 DATE SUBMITTED: �✓ ° I ) O' ( ✓ � CITY OF COLLEGE STATION . TIME: Planning &Development Services STAFF: 44 MOBILE FOOD VENDOR APPLICATION (Check one) New Applicatio ❑ Renewal ❑ New Concession Cart Application ❑ Cart Renewal ($500.00) ($250.00) ($250.00) ($125.00) The following items must be submitted for the application to be considered for review. MINIMUM SUBMITTAL REQUIREMENTS: V '/ $125 -$500 Application Fee (see above) 1,./ //Application completed in full. This application form provided by the City of College Station must be used and may not be adjusted or altered. Please attach pages if additional information is provided. %/17 Surety bond in the sum of not less than $1,000 made payable to the City of College Station ritten Permission from private property owners /representatives (Not required for public property) / 1/Addresses and graphical description of sales locations Written authorization to operate in a Food Service Establishment 1/ /Copy of sales tax permit Copy of Food Handler's or Food Manager's permit for each employee /Copy of each employee's driver's license yhotos of Mobile Vending unit A Mobile Food Vendor permit must be issued to the Applicant from the Brazos County Health Department prior to approval of this application. BUSINESS OWNER INFORMATION: O a x Name �� e rid v - ) Driver's License Number ■a Business Name ( ¶tea . � ut;Le 6f.,() 1 � Business Tax Identification Number 3F55 7 i a-0 0, Sales Tax Number \` a t. - 3S 5 ` & Street Address A ) a S O( k t l ?)( j0-0 City r t ) Dr yet r) State - Ty- Zip Code -1-7 E -Mail Address p e:i-ex �\ � ') y'w) t-er15 Cb%117) Phone Number c( 2`J5s Fax Number G "1i a-1 06 0 UNIT CONTACT INFORMATION (Primary Contact for the unit while in route): Name P'e+e rn A 4 n Street Address �� S �C 'Ian Cit 3rya.-i' State Zip Code 11 SO 3 E -Mail Address C ht C P✓1 1'eK) i) Jwh D (1)h'( ' Fax Number 8 3-1 COO/ Phone Number 7t-S S '�-�� - Page 1 of 4 3/11 FOOD SERVICE ESTABLISHMENT INFORMATION Name of Business \ 4j py '5 ,r ( 1 a5(1a.f 60utim Address —7-02._ ay') 0(tar) -- i - Vj3Phone Number 719 <7)-538 UNIT INFORMATION Make C11 Y0 f - Model 5- 1: Van P5o Year I Vehicle Identification Number 0 u 330 _ P3a 3 �: License Plate Number C 3 5 �d %� Color of Unit G �� X11 butt �,v � r rAphi c des---(Iii 5 �l Description of Edible Goods being Sold: ikrei ,m -ZiL 0.5 , crab ca . k h- 6 /19/35, 16-e Gtie`t.,p t , urn (kW 5 Description of signage (banners require a separate permit): 6411/ b d a Hitched ached 9 'U L t k (id cr c LIST OF EMPLOYEES �r 1. Nker I l( ' e yj 2. 1Ztra Madder) 3. 3DSep)I � S l-'!c " 5. 6. 7. 8. 9. 10. As the employer of individuals whose names a fisted in this application, I accept the responsibilities imposed by State Law for the acts of my employees. (Initial) 3/11 Page 2 of 4 , Has the applicant or any employee listed been found guilty of one or more criminal offenses involving crimes against property and /or a felony by any Court in this State of any other State? Yes If "yes ", identify the individual, offense, State of conviction and penalty imposed: Does the applicant or any employee listed have any unpaid civil judgments against him/her in any State of US possession arising from a business activity which would have been covered in this Section? Yes `o , A copy of C pte 39 of the Texas Business and Commerce Code has been made available to me, the applicant. (Initial) A copy oft City O finance for Mobile Food Vendors has been made available to me, the applicant. (Initial) U STATE OF TEXAS COUNTY OF BRAZOS Before me, the undersigned Notary Public, on this day personally appeared being duly sworn, stated under other that he /she has read the above statements and that evestatement contained here in ter is within his /her personal knowledge and is true and correct. 9 /2 e( -(a /4/(adiallit) Signature of Applicant Ow 4 ad.e��'5 (}x C � "1/1 Title SUBSCRIBED AND SWORN TO BEFORE ME on this e day of ' 4V 20 ( l Pr /L v ! , Notary Publ in and for the State of Texas I 6;.... /. GINA SOUTHERLAND *; ..j....-) Notary Pubic State of Texas 1 i . / My Commission Expires i SEPTEMBER 4, 2013 ■ 3/11 Page 3 of 4 (1# 4114 CITY OF COLLEGE STATION Planning & Development .Services MOBILE FOOD VENDOR MINIMUM REQUIREMENTS (ALL CITY ORDINANCES MUST BE MET) INCLUDING BUT NOT LIMITED TO THE FOLLOWING: V I. State of Incorporation or filing of a partnership or articles of association for the Mobile business. V 2. Copy of Chapter or Articles of Incorporation and current listing of directors, partners, or principles (if applicable, publicly traded companies are exempted). 3. A statement as to the location of the goods at the time of permitting and sale, and proof of product origin and a bill a sale for those goods (upon Staffs request). 4. Copy of permits to do business in Texas for foreign companies. (✓ 5. Copy of the Brazos County Health Department permit issued to the Food Service Establishment. When this application has been deemed complete by the Planning and Development Service Staff, the applicant will be contacted and may then proceed with filing an application with the Brazos County Health Department. , . . • Page 4 of 4 3/11 M .--I r, O '--4 o (LS d (n Z C o U O 0 N 0 d O 0 ,4 F O O L _ 0 • O re) 2 U o �, o n c 4 N ti O a O `° 7) = N N c r H N x c O L m 1- co N N F - 'a uj C - `o CD T� - //�� 1 ^^ `° o CU C13 -0 V/ h� Nm 1E 2 0 c9 P 0 0 U) L' CD 2 (..9 J W W = � Y Q W N ` Q c rn arrn U > O o N 1 T, 0 r 4111 w z r ._ _ W C W W ❑ o ; 0 O ).--.1 Q w v �► Q Q w W 0) O H O . 0 0 o % 0 w `I w > r:--) 2 O 2 o t Fc-I ci) 0 r -L) a) - L z W c7 4 Ik k: Q cn U L G CO E O ,. 't' - - l) O o r I " :� . a ^ V ' t• a) 43.4 Id eC 'C zap �' 1 O s U L L .0 C 4. .a C H Q . ..: E E W Z L O r Z o. c Q 1.11 10 '.7 L r.+ L � 0 -1.- O -a Et r O L 0 0 CD I L ti N r.+ x `1%1 .�+ W O. O {- �+ V L E pima O a D : Q Ue° = E r m '� d c m .5 cc Z 2 ; fu E Z N 4 t, 0 E N w z d Plias( to LO O r M � !�1 + a ' f N o rn cv c 7 4 Lii N o I m m punrct Madden's casual gourmet 202 s Bryan ave Bryan, Texas 77803 To whom it may concern, The Madden's mobile food unit, Madden's Street Cuisine, is operated out of Madden's casual gourmet restaurant in Downtown Bryan. All food preparation and cleaning takes place at that location. The mobile unit is fully authorized to operate out of the Madden's restaurant. Thank you, Peter Madden / madden's casual gourmet To Whom it may Concern, My name is L. 1please print our name). 1 am the owner /authorized representative of the property Y0t6L N1SS r1� (please state . in print the name of shopping center or business) located at the address, I VVO! D82 FiAly S. Cd<<. 'tsE cirwrrot. Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and/or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. Peter Madden: 979.255.2322 . �. Tara Madden: 979.255.8213 tit Madden's casual gourmet: 979.779.2558 ` Madden's Mobile Unit: 979.676.2303 i 1 979476.2303 gopmaddeMo '`- —_ —� S incerely, www Signature: pi Title: ExCurictotc M6 i Date: 2 ~ Z 7 i ' t Google Maps Page 1 of 2 Go isle maps I Get Google Maps on your phone Text the word %MAPS" to 466453 A � C' SY v 6 CP , ol1 -_i- 4atr,rI "' rx9 �t 0 11 F � ' O u-ri ,t r - ' .: at- .::r::. 1 11 F 4 ^..0 V/ A ( 496' 41111 Y to t.',. n 4*,,, Pt C r %) 0 oi,o F r ` ar l u1 In trt ?'r ob ; P� ng 0 ©2011 Google�+Mapkaa ®2011 Google - a O A . Douglass Nissan 1001 Earl Rudder Fwy S, College Station, TX - (979) 764 -7726 9 reviews http: / /maps.google.com/ maps ?ie= UTF8 &q= douglas + nissan&fb = &gl= us &hq= douglas +nis... 3/7/2011 . _ .... . ....... II -FM , .. J ' , . * / „,...., . / .,!.. / / r / , . z , . , ',` , . , . 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' : .. - ''''' ., -." , . - . , ,....z. ...- -...-.,• . ........ madden's casual gourmet To Whom it may Concern, My name is AY T, 5L\) r (please print your name), 1 am the owner /authorized representative of the property Vayst O . %i 4 r , - 1)ck-vVIA. n ' (please state, )../ in print. the name of shopping center or business) located at the address, \\ UsWi t 11*L v isk a1 y chop Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and /or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. 9 Peter Madden: 979.255.2322 �, 0 Tara Madden: 979.255.8213 1' '�� � �� , Madden's casual gourmet: 979.779.2558 Madden's Mobile Unit: 979.676.2303 I 1 _ 979479.2707 E n www.p�bmaddM.co 9 , Sincerely, Signature: Title: tle ► LIN--i 1I Date: —/ 1 1 bank of america college station - Google Maps Page 1 of 2 Go sic maps bank of america near College Station, I Get Google Maps on your phone Brazos, Texas Text the word "GMAPS" to 466453 ' A Bank of America B Bank of America Mortgage 111 University Drive East, ollege Station, TX - Ste 102, 1101 University Drive, College (979) 268 -8700 Station, TX - (979) 268 -7665 1 review c. merica ATM D. Bank of America ATM 603 Harvey Road, College Station, TX - 615 University Drive East, College Station, TX - (800) 432 -1000 (800) 432 -1000 1 review - Bri argrove r Old Oaks � P o � Condos �� , Park Royal Oaks ��s 4 4, Ridgecrest Garders s 'y Burton Creek Is ._. F :amsey a Pre u at 4 Place Chimney Hi 1 V S Glenhaven North + Billie 6S adeIey Oakwood ' Park Cane's Cat Hollow 9dsr it er Grove Q :res ® Ileg t Colte ge Hills Hensel Park 1 I College Hits Plantab 3 r Wit ege P ay Wooct ands Oaks " lb tation 4 14 Leib: er.'x Timber at r; . , ; i� S. Ridge Hig Hard CD °q S P ark J F 'or, F ig 4., 11. a Q Thomas � larder 0 Park Oaks c ..z 4 1 ieights Boyer, va� ?i Bovec rrir.,I U 93 � Univers ity 5,-al ,,.,,i Q# Golf Cot. rse Redmond Richards Eastmari Terrace © KFO Simr�o't Ka chinski S r oti I, Drill Field Tie Quad p 011 Google - Map data ©2011 gioglk- http:// maps.google.com/maps ?ie= UTF8 &q= bank +of +america +college +station &fb =1 &gl =u... 3/7/2011 PO" • b r i 1 S r • , � r tf . 4,, , .,,, 4 u ,- .7' 410 • ...'b ac !E 6 1 y • ' • V / . ti • • fib 4 1 4 r AA 0 ,,.% , . . s , .. , ,... ... a� : Op t 0 ,-- 4, , . ..:„..... ,, . . s� A f � i0 ��,, �f J �� e ' 'la 0 madden's (a,wl ,* crnut To Whom it may Concern, My name is ^' 01,-. \Al, l.J. a-..4- or, tplr.r e print „Off uo-tlue), I am the owner /authorized representative of the property S c ; - cr. � .c r - �-- ,.. ce ii.r s e.rc+-t(l fe . c.t,r: state, in print, the alne Of Shopping venter or bt mess) located at the address, 2_.5 %,3—1 & £er t'-,) 7 S. Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and/or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. t: � ' Peter Madden: 979.255.2322 a gam 1 ' I Tara Madden: 979.255.8213 �.a.. Madden's casual gourmet: 979.779.2558 ` , l! , T Maddens Mobile Unit: 979.676.2303 1 II n - . «..._ MO 3 t Sincerely, - 0 %,„......_..„...,..,.......... �t Signature: �� Ti tle: . r. ......g,;. ,, - . ..�.t...� -4-3—'"— Date: Z 1` -k--- 2501 earl rudder fwy college station, texas - Google Maps Page 1 of 2 Go y Address Coll Earl Rudder X 7 S I Get Google Maps on your phone l�l maps College Station, TX 77845 Text the word "GMAPS "to 466453 A G ... ... `�.. Vii .. a e p � 0 F m r �le.k arn H.- .n: :ii R�' I rd,.i ii pu e ie rp B u Si ;,f r.',1 , nn iitr:,, tir t r„91 II �� m P V ,, ■41 :111C1 m 0 Q -b C O3y , t oQ 0 7 co a '..auil rAi ÷ F ai Chl I , College St: itlAfl �.:.. G¢t�c St Tt+° Park & Rec d ,7 9 �a c!a 5' © � 'z' "4,. 4 ) p ' ! ©2011 Google - Map data ©2011 Goog C, NCI; c R-2 is 12.. c L. , Ag jk fb c, 1 . 0.,; .40, Ii lar ' 11, l http: / /maps.google.com/ maps ?q = 2501+ earl +rudder +fwy +college +station, +texas &ie =UTF 8... 3/7/2011 0 . madden's c .zu.l g ourn,t To Whom it may Concern, My name is c c-,-__ us5 t_l / tltk :, print v uur ninth i- 1 am the owner /authorized representative of the property - Me ‘i i. cc -Q Y *:5 —'= e-��d , ' '' "` ni iirint. ilk ii ii ,Itu —ntr ur 1 .rn� , ,I located at the address, l - 1 .1 SI AL '11• _..■ 0,—;" iii, C -.CJ - _ cK or . Cr 1 " — 1 --t L 5 Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and/or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. Peter Madden: 979.255.2322 _ . \I<:(\ Tara Madden: 979.255.8213 r ° ' Madden's casual gourmet: 979.779.2558 Q ' . Madden's Mobile Unit: 979.676.2303 1 1 O - rt 97967 6-2303 ross " wmo.petenaaddemea Sincerely, . i: -� 4 MN Signature: L t- kA-eifi Title: '"WkcoAcksgi `-- Date: Q-- - - l Google Maps Page 1 of 2 i Go -sl> E. maps I Get Google Maps on your phone Text the word "GMAPS" to 466453 4 n ok 13 "ti) 9 (f F . nom � 0 b g o r a` Q, C P -4 R : t G @� :;• 'a r).,, :.,1a A .t PL O ! at �. r'1 G r. 11 .:.v psi a w K. COI's. do <010 t ' R ¢ a de ` 00 a c, ''' i, P c _ Rrr. F'ra - ir � �� © A 1.'art -gvare e =n,- . a gk m 0 Q a H „11 s5 4. - r ,„F 11 O ILO ,, --h, ss ,r'', Q ca`n K -� t1 �IST”" F .,n, v . ;tt, d a H t)''' ,,,, - S t ,, er.. al G- rater 3 F 0 1d 4 ,'' aP ra co 4. to t s v3 02011 Google - Map data 021 Google - s A . Arthritis & Osteoporosis Clinic of Brazos Valley: Medical Arts Building 1721 Birmingham Dr # 204, College Station, TX - (979) 696 -8000 2 reviews http:// maps.google.com/maps ?ie= UTF8 &q= medical +arts +building +college +station &fb=1 &... 3/7/2011 maddcn's To Whom it may Concern, My name is E JQ Lane.O.sti2r (please print your name), 1 am the authorized representative of the property S- 0L (please state, in print, the name of shopping center or business) located at the address, 4°lOS Lak2-wol r pr, , 71g4 5 Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and /or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. Peter Madden: 979.255.2322 Tara Madden: 979.255.8213 leak. k4 & Madden's casual gourmet: 979.779.2558 Madden's Mobile Unit: 979.676.2303 rd 9796762303 ww"tennadden" Sincerely Signature: = �� :Ps.a Title: Cprp. Thns Vor ro \S cff- . Date: Maf C ` ao� V Google Maps Page 1 of 2 Go 3k maps I Get Google Maps on your phone Text the word "G MAPS" to 466453 FI i Mary Pit " v P4� Ad2 r n,, e f 2oYa 1 1 f +F i „ � 0 0 • F , ir,an ss 4 Ge t F is m Q i 65 e '1',1-1 /cam �/ :- 3 1.1 T s Ve S Oaks Ot 0 �n. rscl ©2011 Google - Map data ©2011 Google - A Stata Corporation 4505 Lakeway Drive, College Station, TX - (979) 690 -3079 http: // maps. google.com /maps ?ie =UTF 8 &q =stata +college +station &f b =1 &gl= us &hq= stata &... 3/7/2011 madden's casual gourma To Whom it may Concern, My name is Claudia Smith, I am the owner /authorized representative of the property _ South -Side-P Plaza -located -at e- address; 4093 wy-6-South- College- Station,--Texas. - Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and/or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. f' Peter Madden: 979.255.2322 j' - - , ill Tara Madden: 979.255.8213 it Madden's casual gourmet: 979.779.2558 / t ,,_ - Madden's Mobile Unit: 979.676.2303 1 1 a IINF Sincerely, r Signature: (i?&_.._ ' Title: (9iNlil.e. V Date: 3/ g i i Google Maps Page 1 of 2 Go >gle maps I Get Google Maps on your phone Text the word "G MAPS" to 466453 A 19 P e -P 4. e� G a` ei -1111, r:a 05 '4 1 V ' f $ I 5 � ^ : F _tye III et it - err V/ '.,4 <o O T •P ti n1 a P 4`'n s' P a i t purple Martin Coe 3 wa ,.,1e e Starling Dr e- r I:rl -, ,, - tht �� i�1 R. -p iv.rc ua ( T .r fr 'q � As 4 3 nc s , Y�a FS . I. r' ,11 .r' GT A 02011 Google - Map data 02011 Google A Aggieland Carpet One 4093 State Highway 6 S, College Station, TX - (979) 690-6766 3 reviews http: / /maps.google.com /maps ?ie =UTF 8 &q= aggieland +carpet +one +college +station +texas &... 3/7/201 1 0 madden's casual gourmet To Whom it may Concern, , ,,11,^� (please print I am the My name is ��G �'�„ l,�)�Y (p your name). p y owner /authorized representative of the property 4 T C si—Ut l &. C.AA...A' (please state, in print. the name of shopping center or business) located at the address, i .fbI ,, 0( -rti q a (fry iticki) Peter Madden and his representatives have made arrangements to operate the Madden's Street Cuisine mobile food unit at this property on predetermined dates and /or days of the week. Please contact Peter or Tara Madden should you have any questions regarding the operation of the mobile food unit at this location. Peter Madden: 979.255.2322 - _ . A 0 Tara Madden: 979.255.8213 Madden's casual gourmet: 979.779.2558 ;',, _ , Madden's Mobile Unit: 979.676.2303 I 1 979.878.290 0 w wpebrmeddenso 'i B Sincerely, - -- 4 . )1/ ----....._____ Signature: Title: - ?( o hitmer Date: 1 1 ( ( Croogle Maps Page 1 of 2 Google Maps on your phone Go ` ! 1� maps G et Text the word "G MAPS" to 466453 o a Ci Y, t c0,� ,c O :,1.1....-1 Mr Pill 4 O° �' 4 4 e -4 Oaf 9 4- H.,,,-,. ? et C Jc .�z ea •Z` Oaks. Park 0 ' Ir aoari » aF ste Q 'a i, y " Fi C �., a r 6 µdiem a �e- a o` er 5 ` c m ktf �' ao `a < c° �� Psi s' S Q, m� I 4 5` SA m � ! y`y�,' Go y a o e % n rd O` ,saw Gx '° c 6 �. - Xs' ©2011 Goggle - Map data ©2011 Qoogle - A. Arctic Wolf Ice Center 400 Holleman Dr E, College Station, TX - (979) 693 -3900 13 reviews http: / /maps.google.com /maps ?ie= UTF8 &q= arctic +wolf +college +station &fb = &gl= us &hq... 3/7/2011 .14- . , - i 979 - 676.2303 www. peter madderi co i� • 4 11 $g k . {s ddd 1 ! ii; f i 'i I ; l i , 1 +r .� l t y ! �._. 1 , � . fit: �.■ �s Mr w ,� mom �r.r� imam. s. wires �. err � aim eis∎ film �i �. ��r �. MIIIIMINIS • 7' , 4 AI& ' * � 4 .11i Vii_ �i. �m ,a _ 4r� Mom= +.�� r. mores � � � im 10.■ elliolmm ume ri.rnom.w rte, �i�� I mil ~� �� � . a ∎� �� 81.11111=5 4 ' _ i.l �' �i �i wit �� � __ Ifni 111111.11.10 �IMil �� ' _ � } #4- imp �,�.. - ∎�� +r - �r Vii• M ;mr `` m,tm�. • . f J , e x" .r y < =7 � i "Y - ta { d I S f T * .. .. - ' -c - ',-,-t,,,-,'„,-.':' „-•,,-',i."141 I 1. .i4,. ' j .. f. ., .., i, :‘..,‘,. E ''''''':?:''.,;•...,„...;„.,,; S c tv 3 .' J w . R • '''' ' ' 1 5. .. '' , . -- . 7 Z . .. "': ' 'Z.I. . , -*. 1 , owic"*'. - 1` z ' . d ,f , ,, 4.. � ' 1 . [ . Y A � 1 ��� o J ASd t il rilWil ' 'clij 4 .1( , . „ it 11 11111 j;'; l I II ffl ' M t,4 . ' $,::, ' , &.. , ; .4 .. , ';'4,*, , i''''',t '' ' r "'��, '1 a r i it E.,._ f - 'p. 4, Corporations Section Roger ,st E pi, Williams P.O.Box 13697 G, o �, Secretary of State Austin, Texas 78711 -3697 D\ \4 '. Office of the Secretary of State CERTIFICATE OF INCORPORATION OF Peter and Tara, Inc. Filing Number: 800571527 The undersigned, as Secretary of State of Texas, hereby certifies that Articles of Incorporation for the above named corporation have been received in this office and have been found to conform to law. Accordingly, the undersigned, as Secretary of State, and by virtue of the authority vested in the Secretary by law, hereby issues this Certificate of Incorporation. Issuance of this Certificate of Incorporation does not authorize the use of a name in this state in violation of the rights of another under the federal Trademark Act of 1946, the Texas trademark law, the Assumed Business or Professional Name Act, or the common law. Dated: 11/16/2005 Effective: 11/16/2005 Arc E op � ges 3 ) t� ` III ; >< ,... wr.eA L ;wp �'►� Roger Williams Secretary of State Come visit us on the intemet at http: / /www.sos.state.tx.us/ Phone: (512) 463 -5555 Fax: (512) 463 -5709 TTY: 7 -1 -1 Prepared by: Dee Harris Document: 109047160002 T he attached addendum, if any, is incorporated herein by reference.] 1 Effective Date of Filing ..__........___. rI A. This document will become effective when the document is filed by the secretary of state. OR B his document will become effective at a later date, which is not more than ninety (90) days from the date of its filing by the secretary of State. The delayed effective date is: Incorporator The name and address of the incorporator is set forth below. !Peter Madden 202 South Bryan Avenue, Bryan, TX 77803 EXECUTION the undersigned incorporator signs these articles of incorporation subject to the penalties imposed by law for the submission of a false br fraudulent document. !Peter Madden Signature of incorporator. FILING OFFICE COPY Filed in the Office of the Form 201 Secretary of State of Texas Filing #: 600371327 11/16/2005 Document #: 109047160002 Secretary of State P.O. Box 13697 Austin, TX 78711-3697 FAX: 512/463-5709 Articles of Incorporation Pursuant to Article 3.02 Filing Fee: $300 Texas Business Corporation Act Article 1 - Corporate Name file name of the corporation is as set forth below: ;Peter and Tara, Inc. the name must contain the word "corporation" "companr, "incorporated" "limited", or an abbreviation of one of these terms. The name must not be the same as, deceptively similar to that of an existing corporate, limited liability company, or limited partnership name on file with the secretary lof state. A preliminary check for the name availability" is recommended. Article 2 — Registered Agent and Registered Office (Select and complete either A or B and complete C) riA. The initial registered agent is an organization (cannot be corporation named above) by the name of OR • ifv! initial registered agent is an individual resident of the state whose name is set forth below: Name: Peter Madden c. The business address of the registered agent and the registered office address is: Street Address: 202 South Bryan Avenue Bryan TX 77803 • - ••• •-•• • - Article 3 - Directors he number of directors constituting the initial board of directors and the names and addresses of the person or persons who are to serve as directors until the first annual meeting of shareholders or until their successors are elected and qualified are set forth below: Director 1: Peter Madden treet Address: 202 South Bryan Avenue Bryan TX, USA 77803 ;Director 2: tam Madden !Street Address: 202 South Bryan Avenue Bryan TX, USA 77803 Article 4 - Authorized Shares The total number of shares the corporation is authorized to issue and the par value of each of such shares, or a statement that such Shares are without par value, is set forth below. Number of Shares Par Value (must choose and complete either A or n) - !class 'Series 1000 tT A. has a par value of $ ; B without par value. .. _ .... shares are to be divided into classes, you must set forth the anition of each class, the number of shares of each class, and the par value . (or statement of no par value), of each class. If shares of a class are to be issued in series, you must provide the designation of each series. The , Dreferences, limitations, and relative rights of each class or series must be stated in space provided for supplemental information. - - Article 5 - Duration — (The period of duration is perpetual. Article 6 - Purpose frhe purpose for which the corporation is organized is for the transaction of any and all lawful business for which Icorporations may be incorporated under the Texas Business Corporation Act. Supplemental Provisions / Information . , 979 209 5959 CITY OF BRYAN PUB W 02 13 18 p.m- 02 -28 -2011 2 /2 February 28, 2011 OF BRYAN Good Life, 'limos SfVle Mr. Peter Madden CITY ORYAN Madden's Casual Gourmet 202 S. Bryan Avenue Bryan, TX 77803 Re: Disposal Privilege Dear Mr. Madden, This letter hereby grants Madden's Casual Gourmet approval to dispose of wastewater of this mobile food vending activities at the Still Creek S � � C reek Fa l ity for d sp °sa1� copy letter will be necessary for your company to utilize All waste received at the Still Creek Facility must be documented 5 -pan manifest. An Itinerant an performing flt th business within the City of Bryan• nted through of Bryan's Environmental Both items Permit will o e required prior be your company the City Both items mentioned above may be obtained by Compliance Team at (979) 209 -5900. an for 0.17 per gallon will be applied to all concession wastes transported to the City of Bry prate of $ P disposal. You will be invoiced monthly for disposal ser'fCe' questions or desire further clarification. Please contact me directly at (979) 209-5932 should you have Respectfully, M k Juric Treatment & Compliance Manager .... -.... . -- -- -- _- rrrs• nosy u unYI 070 700 Rona Page 212 b c4 y 4 y W N o CD co N - �_ �. Z A) x a m z Z A .1 N r rn N klessii , o 9 N S y a) O tel: N I. c 0 -A v x 0 D o Si ma c p o o ° w D %Z Ciz e4 CA P Sy • lit tD S < — N 1. xi: et M D y P3 f, f, c III ' p CD c y D o Z a tr• Z o 6 et 03 C D 0 rttl 0 A I B q c so cr C N E. - O 0- A P- ii; fD cr et et . µ l'.. 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Z a' J a J an, 21. 2011 4:55PM Oren Beal Insurance Agency No. 71(14 P. 1 TEXAS LIABILITY INSURANCE CARD COMPANY PHONE NO COMPANY 800- 792 -2910 American Hallmark Insurance Company POLICY NUMBER. EFFECTIVE DATE EXPIRATION DATE 44 -CL- 432487 -06 05/17/2010 05/17/2011 YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER 1998 Chevrolet 1GBKP32R3W3303710 SPANISH TRANSLATION AGENCY AGENCY PHONE NO, Oren Beal Insurance Agency, Inc. 979 -268 -1500 1500 University Dr. E, TRADUCCION DE ESPANOL College Station TX 77840 INSURED Peter and Tara, Inc. 202 S. Bryan St. Bryan TX 17803 This policy provides at least the minimum amounts of liability insurance required by the Texas Motor Vehicle Safety Responsibility Act for the Specitled vehicle and named insureds and may provide coverage for other persons and olher vehicles as provided by the Insurance policy. Tarjeta de Segura de Responsabllldad de Texas Texas Liability Insurance Card Guards esta tarjeta. Keep this card. IMPORTANTE: fiats lerjeta o una copla de su pEEllza de IMPORTANT: This card or 8 copy of your Insurance policy must eeguro debe ser mostrada cuando usted solidte o renuavo be shown when you apply for or renew your: su: o motor vehicle registration regiatro de vehOcuto de motor drivers license o Ilcencia para conducir o etfquota de tnspeccl/En do segurided pare au vehOculo, o motor vehicle safety inspection sticker. Puede que usted lenge lambiAn que mostrar esta tarjeta You also may be asked to show this card or your policy if you o su Kiln de sequro si Ilene un accidents o si un oflcial have an accident or if a peace officer asks to see it. de la paz se Is Aide. Todos los conductores en Texas deben cis toner seguro All drivers in Texas must carry liability Insurance on their do responsebilldsd pars sue vehOcuios, o de olra manera vehicles or otherwise meet legal requirements for financial Items los requisites legates de responsabiIidad cIvtl. Folio responsibility. Failure to do so could result in fines up to en Itenar este requisite pudlera resultar en multes de $1,000, suspension of your driver's license and motor vehicle haste $1,000. suspensIFEn de su licencie pera conducir registration, and Impoundment of your vehicle for up to 180 y de au regislro de vehOculo de motor, y la retencLEn de su vehOculo por un pertodo de hasta 160 deas (s un costo days (at a cost of $15 per day). de 316 por dfa). ACORO 6o TX (2157) C ACORD CORPORATION 1991 I t �0 GI� SE( j1 suc t 4 \, � -1 ' ' , ifatt t a,, ,E THIS NUMBER HAS BEEN ESTABLISHED FOR I$ _- :1 l d 1r { 7 T � , yam' , ` i l l T � - - /� /� TX DRIVER LICENSE USA . DL 0 5169855 < class CM '_'- bs 01/14/2010 SU Exp 10/19/2011 .3 DOS 10/19/1987 "s AERTKER 2JAMES RYAN s 1350 HARVEY MITCHELL PKWY #1416 COLLEGE STATION TX 77840 -o0e1 12 Restrfctions NONE E NONE i r=. ,- . - — ,e Hgt 5-09 15 Sex M to Eyes BRO 5 DD 05810070118154197590 -4 i >' $zj i vlo c i v i E E a) u i E 3 a Q w O I m j tr , i , • 0 f .` . j I. 0O = j co i 4 I� T c 5 I I �_ y +� +a L m i i i = L _I u I llitel 4.1 a) (a) 1." I • C s— c o I I V '� a as I 1 i ..ca .02, 0 . Q i i Q CD }, ' 4111 110 NE E i e 4 3) i I a) Ct a. u RS 413 i 4-I (/) - 0 " o i C CU O v w �� ._ i i N ,. i i i , V) E E 0 i i O ^ _ i I Vf V ow i >._ V j 1 S M p RI i N V! Q i i C vl 11_ i 1 1 j X i ..--, a) (0 CU i y ! v I u. i W V I • E■� 3unlYNOls �. - , i� ICI ./., iv ,,, io a;Wsinevls3 1ia3S ¢VIt'd 'N SIHI 11 l . i 19 0 *110 „..L�L yam r nil ` Y ! foot a s ao 5 �f4as v 4 * - ;., .... r in i o; co 6 %- a m ! C: 7y N 4} # A 1> ( 4 mp� Na i� W y P 6.0 F CC Y H U W f ' ZN Z � � � o o a V Z 8179£61.9: .: , CC PHI h OC W Z W(/) Food Handler Classes I State of Texas 1 Our Fee: $9.00 1 Online Certification, Permit, License, Certificat... Page 1 of 1 Texas Certified Food Handier This certifies that Brady Beal nas sjccessfully cornpleled the =cod Handler Classes Ce'•ification course aporoved by the Texas Depce•rnent of Slate Hearth Sery ces_ TXDSHS License #8 License No: TX -93745 Date of Iiirtn: 3/2/ Course: Compe•ed Com :ietcd: 2/1 5/2011 Lxam: None Lxpires: 2/1 5/2013 Signature : '11111111111■ ■ glib■ • CI L) - 2r0:, North ' •oustor�• Derisor. IX /5321 ❑ � ' �. . El is V0;i:7 "ry moo' T ;.: s c ;'ns ;7f -•r� C7 ^ff,� �r:d mUS.` bt = =2i� C rtg•;;orcr o *r?'.r it �� ;,: ;: cur r es ^cccrd.'ll .C' .��.cs STC'C J • ' � ^ C ory s^ :,i be ovccob..e *C the i cgu .".*Cir'Y` r icr 'oi �ti i'. ^. of j . . , PErct ;i's ^^ Fin^Sr r,C C: �_htC� 1 :r.h :i'c r iCcG.' e Ci T'1 .4 d c .p o rt� mnn ' for any rtOJ.'rtmeris real.rd ` tri: *r of ir;s •i• • .r *.'fr=^te cer cify/Cc n'. C''a3:rancc5. ❑ xx w ww.Focd. iced eeClasses.COrn Texas.FoodHandlerClasses.com Texas.FoodHandlerClasses.com Texas.FoodHandlerClasses.com F ood Handler License Texas.FoodHandlerClasses.com Grab a tab, sign up online, and get certified today! Texas.FoodHandlerClasses.com Texas.FoodHandlerClasses.com Texas.FoodHandlerClasses.com Please post to help get your food handlers certified! Texas.FoodHandlerClasses.com http: // texas. foodhandlerclasses .com /license.aspx ?t=4 2/16/2011 fa DEPARTMENT UBLIC SAFETY � DRIV CENSI. 4 i e7 •. / , 3 CLASS: C DL: 1797 .4 � ‘:& DOB: 06 -21 -82 HT :5 -1 z l EXPIRES: 06 -21 -10 EYYSi '. - REST:A SEX014-- - - c- - , C- . END: BISHOP,JOSEPH ORM �' 1400 GUNSMITH COLLEGE STA TX i . + 1 1 - ,.____,_ ,, ,:i :e...4,cir,diariAs]Efutata-pu, a a ir . ti fu., . r 4 - , ir , :r'- -- `-fib' -T —w . +F-'> w--0— • www.texasfoodhandler.com A SERVICE OF SAFEWAY CERTIFICATIONS Certificate of Completion This is to certify that JOSEPH BISHOP has completed the requirements for the Food Handler Course as accepted by Brazos County. This certificate is valid in all Texas cities and counties and must be accepted under state law. Please note: Your city /county ordinance may require registration and payment. Please check with your local health department for details. SECURITY FEATURES: T his certificate contains a watermark and the border is created from the student name. Certificate Information Certificate No: 20110228120706 Date of Birth: Jun 21 1979 Date of Completion: Feb 28 2011 Certificate Expires: Feb 28 2013 Course: Food Handler Course Location: Brazos County Certification provided by SafeWay Certifications, Austin, TX For verification, visit www.texasfoodhandler.com r Texasfoodhandler.com a service of SafeWay Certifications 4,, = 8411 Cambria Drive Co. TXDSHS License #4 Austin, TX 78717 `7 (512) 996 -0909 a, ?. .tom.. 3 3 3 E 1 _1 �1 In 0 441 °�° , CO 01101 1 II! tr•-• �z t X Nt � r li t tll Vt) 1 ¢ >- to c Z a a Wig: 0G �� a MI nI W fs � �l►Nn o �A; a J ' = W N O _ r Z= V w t._ r.._ • � 1fi0 _ON Od - 31:13H a1O3 - 1 V N a W o 14 x •:41{.} 1'1 C` z en 4 J Y o Wes' i -V: . tea^ en ' co W n ; + + ��' a ) d -Es' `o ry W CO $ w x In Q 1 s V o c .� - 01v� z~ O o, h c t r, 10 0 O Z Z c ' 7v N w SSH1O 1Sbid 1 Q d c M..-. Q p N M ? o c •C$ . 13 T 1 = 3 0, E ai .6 —,in r' 0` Z a , . . ,— ,_ O o C y ,, m J ' y r y C o v O co Oo - N r Z J W ife Q Z Z I wa � , � a O Q v yit' (�— e- �w m 0 m J ¢ = p o c Q < 1 C n en, a iC �1 -7 w O< F- n Z 4 t = L) .)„( - 1 o o — Z W O 1� N Q 1 (.3 = '" M Q �. . ��. w V ^+c Q C a a �, - Wi C V _ a. Q T. � 0 1 a) O o C., N. 5 W et x 1—• LL V ' ek ' m xU x r " l o . � W W v 1 Z C v !- -CG d< USA TX ¶ Th y as DRIVER LICENSE r rs .0 DL 07016671 9 class C 4a Iss 06/02/2010 4b Exp 01116/2012 . t :. 3 DOB 0111611973 F + i MADDEN a 2 TARA LYNN j; 8 5215 BALLYBUNION : COLLEGE STATION TX 77845-C100 12 Ra_-trictions NONE 93 End NONE Y i6 Hgt 5-03 15 Sex F 18 Eyes BRO V e2/� /'.( °� 6 DD 07610070069012737715 >'U 0l 1— E g m J 00 J Q. M O n • 0 N 0 cll 0 in 06 O V N -p 0 a N ( O c o LUL . 1- X W N 4) cTS C es N 0 3 •� E as x o 0 m •NMI v a O W 0Y — O C v W ,' ills T O O Q U U !" a Co) O O T r O 0 C O N m Q O E cv O 4t N U N -0 ` 2 O � V1 L I- CI V W E S T E R N S U R E T V C O m P F N V • O N E O F n m E R I C n S O L D E S T B O N D I N G C O M P A N I E S EI l P I E In Duplicate DD% u fi Effective Date: February 28th, 2011 u o Western Surety Company .. B LICENSE AND PERMIT BOND n u r u g g KNOW ALL PERSONS BY THESE P Bond No. 2 4905227 u That we, Peter and Tara, Inc. B u of the City of Bryan State of Texas as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of ° E S , Texas , as Surety, are held and firmly b unto the E R E City of College Station , State of Texas , as Obligee, in the penal s T sum of One Thousand and 00 /100 DOLLARS ($1, 000.00 ), lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, o we bind ourselves and our legal representatives, firmly by these presents. E THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been D E licensed Vendor D D by the Obligee. s s NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply s with the laws and ordinances, including all amendments thereto, pertaining to the license or permit S applied for, then this obligation to be void, otherwise to remain in full force and effect until 5 Fe 28th 2012 , unless renewe by Continuation Certificate. s T This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration N of thi e ga f rom the mailing of said notice, this bond shall ipso facto terminate and the Surety -- -fe sh l l ie uport h ewed from any liability for any acts or omissions of the Principal subsequent to said M d R A the number of years this bond shall continue in force, the number of claims made M d ns liis bo the number of premiums p bf is which shall be payable or paid, the Surety's total limit of n s l l shall not be nulative from y to year or period to period, and in no event shall the Surety's total 5 li ity _ s ai = Texceed the amount set forth above. Any revision of the bond amount shall not be ?. u u As,, - -- , , . � 5�.q �, "��' 2 8th February 2011 Dated this day o y B u Peter and Tara, Inc. u / l.l� �� 0 Principal " �i� �%VL/ Principal WEST/9E COMPANY u By P aul T. Bruflat, nior Vice President Form 532 -1 -2010 u E S T E R N S U R E T V C O M P U N V • O N E O F U M E R I C A S O L D B S T R O N O I N G C O M P U N I E S Executed In Duplicate ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA (Corporate Officer) ss COUNTY OF MINNEHAHA On this 28th day of February , 2011 , before me, the undersigned officer, personally appeared Paul T . Bruflat , who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. J }aaaaaaaaaaaaa a aaa aaaaaaa f s s S . ETCH f f N) ) . a..-CY") r r SEAL NOTARY PUBLIC SEAL SOUTH DAKOTA s Notary Public — South Dakota t + My Commission Expires February 12, 2015 ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF �'C7CQ1' ss COUNTY OF p i • .0 7 — "s On this 2 �1 dl of / (� ct j t 7 , .2-c / ( , before me personally appeared 2i r � o cae known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me that he executed the same. / My commission expires /.-- 4 ' Notary Public OHAMMlIFSTAN STATE OFTEN ACKNOWLEDGMENT OF PRINCIPAL 1 (Corporate Officer) STATE — ss COUNTY OF On this day of , , before me personally appeared who acknowledged himself/herself to be the of , a corporation, and that he /she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself /herself as such officer. My commission expires Notary Public C Ct CD— F 0 W z U o a z q A a cn g- z z- ¢ ¢ O ¢ o - cn L c W 14 a CA E a s. Z z y i v i i W - > o N a o ° CZ Ca. o 0 [I. Q TS Executed In Duplicate Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota , its regularly elected Senior Vice President as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed, the following bond: One Vendor City of College Station bond with bond number 24905227 for Peter and Tara, Inc. as Principal in the penalty amount not to exceed: $ 1,000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by -laws of Western Surety Company duly adopted and now in force, to -wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attomeys -in -Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attomey or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Senior Vice President with the corporate seal affixed this 28th day of February 2011 ATTEST WESTEE URET COMPANY C 24141-01.1—/ B 4. T L. Nelson, Assistant Secretary Paul T. Brufl , Senior Vice President STATE OF SOUTH DAKOTA ss y^oR COUNTY OF MINNEHAHA � as On this 28th day of February 2011 , before me, a Notary Public, personally appeared Paul T. Bruflat and L. Nelson who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. +hyyyy�wyyy�,5hyh5titi5 .,�I I d D. KRELL s NOTARY PUBLIC -1;;; s SOUTH DAKOTA s /1� if 1 r +h4�•a �, �,y4yb, �, �i �, �,y�s4�ah�+yy44 + Notary Public My Commission Expires November 30, 2012 Public Form F1975 -9 -2006 FOR OFFICE USE ONLY CASE NO 1 1 . 90 °1 3 DATE SUBMITTED: �✓ ° I ) O' ( ✓ � CITY OF COLLEGE STATION . TIME: Planning &Development Services STAFF: 44 MOBILE FOOD VENDOR APPLICATION (Check one) New Applicatio ❑ Renewal ❑ New Concession Cart Application ❑ Cart Renewal ($500.00) ($250.00) ($250.00) ($125.00) The following items must be submitted for the application to be considered for review. MINIMUM SUBMITTAL REQUIREMENTS: V '/ $125 -$500 Application Fee (see above) 1,./ //Application completed in full. This application form provided by the City of College Station must be used and may not be adjusted or altered. Please attach pages if additional information is provided. %/17 Surety bond in the sum of not less than $1,000 made payable to the City of College Station ritten Permission from private property owners /representatives (Not required for public property) / 1/Addresses and graphical description of sales locations Written authorization to operate in a Food Service Establishment 1/ /Copy of sales tax permit Copy of Food Handler's or Food Manager's permit for each employee /Copy of each employee's driver's license yhotos of Mobile Vending unit A Mobile Food Vendor permit must be issued to the Applicant from the Brazos County Health Department prior to approval of this application. BUSINESS OWNER INFORMATION: O a x Name �� e rid v - ) Driver's License Number ■a Business Name ( ¶tea . � ut;Le 6f.,() 1 � Business Tax Identification Number 3F55 7 i a-0 0, Sales Tax Number \` a t. - 3S 5 ` & Street Address A ) a S O( k t l ?)( j0-0 City r t ) Dr yet r) State - Ty- Zip Code -1-7 E -Mail Address p e:i-ex �\ � ') y'w) t-er15 Cb%117) Phone Number c( 2`J5s Fax Number G "1i a-1 06 0 UNIT CONTACT INFORMATION (Primary Contact for the unit while in route): Name P'e+e rn A 4 n Street Address �� S �C 'Ian Cit 3rya.-i' State Zip Code 11 SO 3 E -Mail Address C ht C P✓1 1'eK) i) Jwh D (1)h'( ' Fax Number 8 3-1 COO/ Phone Number 7t-S S '�-�� - Page 1 of 4 3/11 FOOD SERVICE ESTABLISHMENT INFORMATION Name of Business \ 4j py '5 ,r ( 1 a5(1a.f 60utim Address —7-02._ ay') 0(tar) -- i - Vj3Phone Number 719 <7)-538 UNIT INFORMATION Make C11 Y0 f - Model 5- 1: Van P5o Year I Vehicle Identification Number 0 u 330 _ P3a 3 �: License Plate Number C 3 5 �d %� Color of Unit G �� X11 butt �,v � r rAphi c des---(Iii 5 �l Description of Edible Goods being Sold: ikrei ,m -ZiL 0.5 , crab ca . k h- 6 /19/35, 16-e Gtie`t.,p t , urn (kW 5 Description of signage (banners require a separate permit): 6411/ b d a Hitched ached 9 'U L t k (id cr c LIST OF EMPLOYEES �r 1. Nker I l( ' e yj 2. 1Ztra Madder) 3. 3DSep)I � S l-'!c " 5. 6. 7. 8. 9. 10. As the employer of individuals whose names a fisted in this application, I accept the responsibilities imposed by State Law for the acts of my employees. (Initial) 3/11 Page 2 of 4 , Has the applicant or any employee listed been found guilty of one or more criminal offenses involving crimes against property and /or a felony by any Court in this State of any other State? Yes If "yes ", identify the individual, offense, State of conviction and penalty imposed: Does the applicant or any employee listed have any unpaid civil judgments against him/her in any State of US possession arising from a business activity which would have been covered in this Section? Yes `o , A copy of C pte 39 of the Texas Business and Commerce Code has been made available to me, the applicant. (Initial) A copy oft City O finance for Mobile Food Vendors has been made available to me, the applicant. (Initial) U STATE OF TEXAS COUNTY OF BRAZOS Before me, the undersigned Notary Public, on this day personally appeared being duly sworn, stated under other that he /she has read the above statements and that evestatement contained here in ter is within his /her personal knowledge and is true and correct. 9 /2 e( -(a /4/(adiallit) Signature of Applicant Ow 4 ad.e��'5 (}x C � "1/1 Title SUBSCRIBED AND SWORN TO BEFORE ME on this e day of ' 4V 20 ( l Pr /L v ! , Notary Publ in and for the State of Texas I 6;.... /. GINA SOUTHERLAND *; ..j....-) Notary Pubic State of Texas 1 i . / My Commission Expires i SEPTEMBER 4, 2013 ■ 3/11 Page 3 of 4 (1# 4114 CITY OF COLLEGE STATION Planning & Development .Services MOBILE FOOD VENDOR MINIMUM REQUIREMENTS (ALL CITY ORDINANCES MUST BE MET) INCLUDING BUT NOT LIMITED TO THE FOLLOWING: V I. State of Incorporation or filing of a partnership or articles of association for the Mobile business. V 2. Copy of Chapter or Articles of Incorporation and current listing of directors, partners, or principles (if applicable, publicly traded companies are exempted). 3. A statement as to the location of the goods at the time of permitting and sale, and proof of product origin and a bill a sale for those goods (upon Staffs request). 4. Copy of permits to do business in Texas for foreign companies. (✓ 5. Copy of the Brazos County Health Department permit issued to the Food Service Establishment. When this application has been deemed complete by the Planning and Development Service Staff, the applicant will be contacted and may then proceed with filing an application with the Brazos County Health Department. , . . • Page 4 of 4 3/11 M .--I r, O '--4 o (LS d (n Z C o U O 0 N 0 d O 0 ,4 F O O L _ 0 • O re) 2 U o �, o n c 4 N ti O a O `° 7) = N N c r H N x c O L m 1- co N N F - 'a uj C - `o CD T� - //�� 1 ^^ `° o CU C13 -0 V/ h� Nm 1E 2 0 c9 P 0 0 U) L' CD 2 (..9 J W W = � Y Q W N ` Q c rn arrn U > O o N 1 T, 0 r 4111 w z r ._ _ W C W W ❑ o ; 0 O ).--.1 Q w v �► Q Q w W 0) O H O . 0 0 o % 0 w `I w > r:--) 2 O 2 o t Fc-I ci) 0 r -L) a) - L z W c7 4 Ik k: Q cn U L G CO E O ,. 't' - - l) O o r I " :� . a ^ V ' t• a) 43.4 Id eC 'C zap �' 1 O s U L L .0 C 4. .a C H Q . ..: E E W Z L O r Z o. c Q 1.11 10 '.7 L r.+ L � 0 -1.- O -a Et r O L 0 0 CD I L ti N r.+ x `1%1 .�+ W O. O {- �+ V L E pima O a D : Q Ue° = E r m '� d c m .5 cc Z 2 ; fu E Z N 4 t, 0 E N w z d Plias( to LO O r M � !�1 + a ' f N o rn cv c 7 4 Lii N o I m m punrct Madden's casual gourmet 202 s Bryan ave Bryan, Texas 77803 To whom it may concern, The Madden's mobile food unit, Madden's Street Cuisine, is operated out of Madden's casual gourmet restaurant in Downtown Bryan. All food preparation and cleaning takes place at that location. The mobile unit is fully authorized to operate out of the Madden's restaurant. Thank you, Peter Madden