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Peddler/Solicitor/Transient Merchant License Application lertivle SmogT ,n uvkm.ft city UFO. PEDDLER/SOLICITOR/TRANSIENT MERCHANT LICENSE APPLICATION • All applicants must apply in person and present photo identification.A copy of your driver's license will be taken at the time of application. • No solicitor or peddler shall enter any premise where a sign prohibiting solicitations is placed. FEE: $50 per individual per 90 days. The Wright County Sheriff s Office will be notified of all solicitors/peddlers working within Albertville. DEFINITIONS: CANVASSER:Any person canvassing for funds door-to-door in the City on behalf of a charitable,religious,or nonprofit organization as defined in Internal Revenue Service Code Section 501(c)(3). PEDDLER:Any person with no fixed place of business dealing in the City who travels around from place-to-place,or street-to-street,carrying or transporting goods,or soliciting for all manner of wares,services and merchandise,offering such wares,service or merchandise for sale or making sales and delivering articles to purchasers. SOLICITOR:Any person who goes from place-to-place and/or house-to-house soliciting or taking or attempting to take orders for the purchase of any food,wares or merchandise,including magazines,books,periodicals or personal property of any nature whatsoever for delivery in the future,or orders for the performance of a service in or about the home or place of business,such as furnace cleaning,roof repair,or blacktopping. TRANSIENT MERCHANT:Any person,whether as principal,employee,or agent,who engages in,does,or transacts any temporary or transient business in the City,either in one locality or traveling from place-to-place in the City selling goods,wares,and merchandise,and who,for the purpose of carrying on such business,hires,leases,occupies or uses a building,structure,vehicle,property,or other place for the exhibition and sale of such goods,wares,and merchandise. I. APPLICANT INFORMATION Legal Name: Street Address: City: State: Zip: Daytime Phone: Cell Phone: Is this your permanent address? Li Yes Li No If no,please provide permanent address: Permanent Address: 11. LOCATION AND GOODS Describe the goods that will be sold: Describe location(s)where goods will be sold: CITY CLERK'S OFFICE 5959 MAIN AVENUE NE 763-496-6801 CITY OF ALBERTVILLE ALBERTVILLE,MN 55301 WWW.Cl.ALBERTVILLE.MN.US 1 A,lbertiville Smog T ,n Uvkg.ft city Ula. *If transient merchant,please provide written consent of the property owner for location on which you will be selling. Property Owner Name: Signature of Property Owner Date If a vehicle will be used,provide description: Make: Model: Year: Color: Plate#: III. HOURS AND DURATION OF SALES List the dates you will be selling: IV. EMPLOYER/SUPPLIER Employer/Supplier Name: Street Address: City: State: Zip: Phone: Email: V. CRIMINAL BACKGROUND Have you ever been convicted of a crime,misdemeanor,or violation of any ordinances related to soliciting and peddling? If so,provide details,location,and date: VI. PREVIOUS LICENSES HELD Please list the last municipalities,including state and dates worked,where you have conducted this business: 1. 2. 3. VII. APPLICANT OATH I hereby state: • The answers and statements given by me are true and accurate to the best of my knowledge and belief. • I understand that providing false information in this application may result in denial of a license. Signature of Applicant Date Printed Name CITY CLERK'S OFFICE 5959 MAIN AVENUE NE 763-496-6801 CITY OF ALBERTVILLE ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US 2 A,lbertiville Smog T ,n uvkm.ft city Ula. TENNESSEN WARNING In connection with your request for a license,the City has asked that you provide information about yourself which may be classified as private,confidential,nonpublic,or protected nonpublic under the Minnesota Government Data Practices Act.This means that this data is not ordinarily available to the general public.Accordingly,the City is required to inform you of the following: 1. The purpose and intended use of the information requested is to determine if you are eligible for a license from the City. 2. You are not legally obligated to supply the requested information and may refuse to provide some or all of the requested information. 3. The known consequence of supplying the requested information is that the information or further investigation could disclose information which could cause your application to be denied. 4. The known consequence of refusing to supply the requested information is that your request for a license cannot be processed. S. A criminal charge,arrest,or conviction will not necessarily bar you from obtaining a license with the City,unless the conviction is related to the matter for which the license is sought,according to Minnesota Statute 364.03. However,failure to reveal the requested criminal information will be considered falsification of the application and may be used as grounds for the denial of the application. 6. Some of the information you provide will be released to the Minnesota Department of Revenue. Other governmental agencies necessary to process your application are authorized by law to receive the information provided. The City may also release the information provided if required by Court order, or if authorized by other state or federal law. The undersigned,by signing this notice,acknowledges that he/she has read and understood the contents of this notice and is in agreement of the Tennessen Warning and its application. Signature of Applicant Date CITY CLERK'S OFFICE 5959 MAIN AVENUE NE 763-496-6801 CITY OF ALBERTVILLE ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US 3