Form Center

2. Amusement, Food Vending and Mobile Food License Application
   5127 Oakton Street - Building Division - Skokie, IL 60077 - Phone: (847) 933-8223
3. 
5. Application Type:

   Payments must be mailed or delivered to the above address.

   1. Mobile Food Vendor –Ice Cream Truck ($50.00 per truck)
   2. Mobile Food Vendor-Limited Service Food Truck- All Packaged ($100.00 per truck)
   3. Mobile Food Vendor-Full Service Food Truck - Open Food Products (200.00 per truck)
   4. Food Vending Machine ($25.00 per machine)
   5. Amusement Device ($125.00 per device)
7. Address:
8. Type of machine/device or product:
10. 1:
11. 1.
13. 2.
14. 2.
16. 3.
17. 3.
19. 4.
20. 4.
22. 5.
23. 5.
25. 6.
26. 6.
28. 7.
29. 7.
31. 8.
32. 8.
34. Business Name:
36. Address:
37. City:
39. Phone:
40. Zip:
42. Email:
44. Illinois Retail Occupation Tax Number:
46. Check one and list name(s) and address of officers or partners. *

    1. Individually Owned

    1. Partnership

    1. Corporation
48. Name:
50. Address:
51. City/Zip:
53. Phone #:
55. Name:
57. Address:
58. City/Zip:
60. Phone #:
62. I understand that the Village of Skokie requires a license for each vending machine, mobile food vendor, amusement device, and for over the counter sales of cigarettes and/ or tobacco products. I agree to comply with all of the provisions of the Skokie Village Code relating to the license(s) being applied for herein.
64. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
66. Electronic Signature
67. Date:
69. Title:
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit Submit and Print

* indicates a required field