Food license application

The below information is a guide to the information you will need when filling out the application form. You are required to fill out the application (PDF), providing the information requested and acknowledging your understanding and acceptance of the information below.

Please note: This is not the only form you will need to fill out to receive a food license. Please refer to the applying for a food license page for information and procedures on obtaining the other forms you will need when applying for a food license.

Application for Food License

On the application, you will be required to provide all of the following information. Any incorrect information or an incomplete application is a violation of the City Ordinance and can result in denial of licensing and/or prosecution.

Establishment

  • Establishment/trade name
  • Establishment address
  • City, State, Zip
  • Establishment phone number
  • Manager or agent of owner

Licensee information

State Law: This must be a corporation or partnership name, or the individual’s name that owns the establishment & carries the tax liability.

  • Licensee name
  • Primary Officer
  • Licensee address
  • City, State, Zip
  • Telephone number

Return license and send all notices & billing renewals to:

(all must be sent to the same address)

  • Company Name
  • Name of person to contact, if questions
  • Attn
  • Street
  • Telephone number
  • City, State, Zip

Class and fee information

(use only the same class name and fee as on the food fee schedule)

  • Type of business: Class and fee
  • Additional businesses: Classes and fees
  • Grand total (checks payable to “City of Minnetonka”): total fee

Note: Proper signature required—if a corporation owns this establishment, an officer of the corporation must sign below; if a partnership, one of the partners; if an individual, the owner.

On the form, the name and title will need to be printed along with a signature and date, acknowledging the following:

I, (we) the undersigned, have complied with all requirements of the city code of the City of Minnetonka necessary for obtaining this license. Now, therefore, I (we) hereby make application to operate the above named establishment subject to all conditions and provisions of these ordinances.