City of Stayton Application for Itinerant Merchant/Solicitor License
Revised August 2018 Page 1
CITY OF STAYTON
362 N. Third Ave., Stayton, OR 97383
APPLICATION FOR SOLICITOR LICENSE
Dan Fleishman, Licensing Administrator dfleishman@ci.stayton.or.us 503-769-2998
NOTICE TO APPLICANTS: Please type or print legibly. Application form must be filled out COMPLETELY.
Incomplete application forms will be returned to the applicant without further consideration for approval. False or misleading
statements or withholding pertinent information will be cause to deny approval or issuance of a license or permit to conduct business
within the City of Stayton. All applicants may be required to be fingerprinted and photographed by the Police Department. The
applicant's criminal history will be the subject of inquiry and may form the basis of the Police Department’s recommendation to the
Licensing Administrator regarding approval of the application. The application fee must be paid with the submission of this
application. Licenses/Permits will not be issued until final approval of the application (which may be 7-14 days after receipt of
application).
This application should be accompanied by a current digital photograph of the applicant and each employee to be licensed. If
photograph is not submitted by the applicant, the photograph will be taken by the Police Department.
One EMPLOYER may file an application for all his employees. The employer may make substitutions of one employee for another
without paying any additional fee; however, the employer must furnish all the required licensing information on the new employee.
Solicitors are required to exhibit their license at the request of any citizen.
No Solicitor shall have the exclusive right to any particular location on the public streets, nor shall a stationary location be permitted,
nor shall any location be permitted in a congested area where there might be inconvenience to the public.
No Solicitor may shout or use sound enhancing devises for the purpose of attracting attention to sell their goods.
A license may be revoked by the Licensing Administrator, after Notice and Hearing on any of the following causes:
1. Fraud, misrepresentation, or false statement contained in the application for license.
2. Fraud, misrepresentation, or false statement made in the course of carrying on business as itinerant merchant or
solicitor.
3. Any violation of this Chapter.
4. Conviction of any crime or misdemeanor involving moral turpitude.
5. Conducting the business activity involved in an unlawful manner or in such a manner as to constitute a breach of the
peace or a menace to the health, safety, or general welfare of the public.
I have read and understand the above notice to applicants.
BUSINESS INFORMATION
Business Name: ___________________________________________________________________
Business Location: ________________________________________________________________
Business Mailing Address: __________________________________________________________
City _____________________ State _______ Zip _____________
Phone Number: (____) _____ - _________
Home Office Address: _____________________________________________________________
City _____________________ State _______ Zip _____________
Phone Number: (____) _____ - _________ Event Date(s): ___________________________
Number of years doing business: _________
