Trading in Public Places-Mobile Trader

Application Type

Please Tick*

New ApplicationRenewal

Applicant/s Owner's Details

Title*

Given Names(s)*

Surname*

Business Name*

ABN*

Postal Address

Street Address:*

City:

State:

Post Code:

Country:

Residential Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Email*

Phone Number*

Vehicle/Trailer Details

Make*

Model

Registration Number

Area required in m2: (Including tables and chairs)

Additional Information

I hereby confirm that I indemnify the Shire of Capel in respect of any injury to any person or any damage to any property which may occur in connection with the use of the public place by the undersigned, I hereby apply for a permit for a Stallholder as detailed in this application and do agree to abide by all conditions imposed in the Permit and relevant legislation.

Signature of Applicant

Applicant Name

Date

Checklist

Please see Fees below. These will change every year.Booking of Site locations and payment of Traders Fees are now done through SpacetoCo. Please see the How to Guide - Trading in Public Spaces for more information.Proof of a Current Public Liability insurance policy, covering the proposed activity, for a minimum value of ten (10) million dollars will be required prior to issue of permit. The Permit holder is to keep that insurance policy current for the duration of the permit. (Copy attached)Copy of your Food Registration in not registered in the Shire of Capel (Attached)

Office Use Only

Date Received:
Accepting Officer:
Amount Paid: $
Receipt Number:
Premises Code:

Fees (2022/2023)	2024-2025
Permit Application Fee (paid annually)	$77.50
Daily Fee	$33.35
Weekly Fee	$95.80
Monthly Fee	$171.15
Annual Fee	$799.75