City of Emmetsburg Peddlers, Solicitors, and Transient Merchants Application
Business Name
*
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Individual Name(s)
*
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number(s)
*
Description of Vehicle(s)
*
Nature of Business
*
Last Three (3) Places of Business
*
1
Street Address Line 2
2
State / Province
3
License Fee and Required Information:
License Length & Fee
*
1 Week License: $10
1 Month License: $15
1 Year License: $25
Fee Acknowledgement
*
My license fee has been submitted to City Hall
I agree to submit my license fee to City Hall after completing this form (Send/deliver to Emmetsburg City Hall, 2021 Main Street, P.O. Box 417, Emmetsburg, IA 50536)
Copy of Surety Bond: $1,000
*
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Identification for Each Individual of Copy of Drivers License(s)
*
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Dated at Emmetsburg, Iowa this
date
*
day of
month
*
, 20
year
*
.
Signature of Applicant
*
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