Fairfield, MT · Essex County
Cigarette Vending Machine Permit Application
Owners or lessees use this application to provide Fairfield with information and certification for each cigarette vending machine they plan to place on premises in the township.
What this form is
Fairfield Ordinance No. 96-02 requires written information each year for every cigarette vending machine placed on public or private premises in the township. The application asks for the machine owner, premises address and location, serial number, and certification about the machine’s electronic control and visual supervision. The ordinance states that the annual permit fee is $100 per machine and that the Municipal Clerk issues the permit.
Who needs it
A cigarette vending machine owner or lessee who plans to place a machine on premises in Fairfield must provide the required information for each machine.
How to submit it
Provide the information to the Township; the ordinance states that the Municipal Clerk issues the permit. The annual fee is $100 for each machine.
About notarization
This document is signed without a notary; the signer provides the required certification and signs and dates the application.
How to submit this form
- 1
Download The Application
Download the cigarette vending machine permit application.
- 2
Complete The Application
Enter the owner, premises address and location, machine serial number, and required certification.
- 3
Gather Required Information
Provide the required written information for each machine; the ordinance states the annual permit fee is $100 per machine.
- 4
Submit To The Township
Provide the information to the Township. The ordinance states that the Municipal Clerk issues the permit.
Frequently asked questions
- Do I need a notary for the Cigarette Vending Machine Permit Application?
- No. The application has no notary block; the signer provides the required certification and signs and dates the form.
- Who files this application?
- The machine owner or lessee provides the required written information for each cigarette vending machine placed on premises in Fairfield.
- What information does the application request?
- It asks for the machine owner, premises address, location within the premises, serial number, and certification about electronic control and visual supervision.
- How do I submit the application?
- Provide the information to the Township. The ordinance states that the Municipal Clerk issues the permit and sets an annual fee of $100 for each machine.
Need something notarized?
This Cigarette Vending Machine Permit Application doesn’t need a notary — but if you have another Fairfield form that does, a commissioned online notary can help.