Fillable CITY OF SAINT MARYS ELK COUNTY, PENNSYLVANIA (City of St. Marys)

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CITY OF SAINT MARYS ELK COUNTY, PENNSYLVANIA (City of St. Marys)

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File type: PDF

U.S.A. forms for City of St. Marys

BROWSE CITY OF ST. MARYS (PA) FORMS

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City of St. Marys
11
Lafayette Street
Saint Marys, PA 15857
CITY OF SAINT MARYS
ELK COUNTY, PENNSYLVANIA
APPLICATION FOR TRANSIENT MERCHANT/ SOLICITING LICENSE
1. NAME OF PERSON/FIRM/ORGANIZATION.
2. HOME/OFFICE MAILING ADDRESS.
3. TELEPHONE NUMBER.
4. NUMBER OF PERSONS IN CANVASSING PARTY.
5. DESCRIPTION OF GOODS.
6. PRICE RANGE.
7. AREA TO BE CONVASSED.
8. DATES FOR SOLICITING.
SIGNATURE OF APPLICANT
======================================================
CERTIFICATE OF REGISTRATION
THIS CERTIFICATION DOES NOT MEAN THAT THE CITY ENDORSES OR IS PART OF THIS
SOLICIATION. THIS CERTIFICATE REGISTERS THE BUSINESS/INDIVIDUAL/
ORGANIZATION AS ABLE TO SOLICIT WITHIN THE DESIGNATED AREA, ON THE DATES
LISTED FROM 8:00AM – 6:00PM. NO SOLICITATION IS PERMITTED ON SUNDAYS.
THIS CERTIFIES THAT
HAS BEEN GRANTED PERMISSION TO CANVASS/SOLICIT/PEDDLE
AT (AREA OF THE CITY)
ON (DATES)
ACCORDING TO CHAPTER 13, PART 1 OF THE SAINT MARY CITY CODE.
SIGNATURE DATE
CC: POLICE DEPARTMENT
/PermitApplications
2020-03-24
Application # ______________________
Date Received _____________________
Fee $50.00 per week ____________________
(Non-Profit Organization – No Fee)
Check/Cash ___________
Receipt # _____________
11 Lafayette Street
Saint Marys, PA 15857
(814) 781-1718
(814) 834-1304 FAX
www.stmaryspa.gov
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City of St. Marys /PermitApplications
2020-03-24 11 Lafayette Street
Saint Marys, PA 15857
SOLICITOR(S) INFORMATION
Name
Address
Telephone Number
Description: Height Weight Hair Color
Eye Color
Sex Race
Drivers License/ID Number State
Vehicle Description
License Plate Number and State
References: Three municipalities where you have recently solicited.
1.
2.
3.
I hereby certify that the above information is true and correct, and that I understand that this
registration is not an endorsement of my products or services, and I shall not represent it in that
manner. This registration shall be presented to anyone upon their request, and shall be on my person
at all times when soliciting within the City of St. Marys.
Signature Date
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CITY OF SAINT MARYS ELK COUNTY, PENNSYLVANIA (City of St. Marys)

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Completed 16 July 2020

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