08/20
City of Plattsburgh
APPLICATION FOR A HAWKER’S AND/OR PEDDLER’S LICENSE
Date: _______________________
Name of Applicant: _________________________________________________________________________________________________
Address of Applicant: ______________________________________________________________________________________________
If Corporation; name of: ___________________________________________________________________________________________
Address of Corporation: ___________________________________________________________________________________________
Telephone No. of Individual or Corporation: __________________________________________________________________
Individuals Date of Birth: _________________________________________________________________________________________
Item(s) to be sold or services to be rendered: _________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
If vehicle is used:
• Year/Make and Model: ____________________________________________________________________________
• License Plate No.: ___________________________________________________________________________________
Length of time which application will be used: Week ____________ Year ____________
*License expires January 1 of succeeding year.
Sales Tax No: ____________________
Certificate No. from sealer of weights and measures if using measuring or weighing device:
*If prepayment is required for services: Bond in the amount of $500.00
Date Submitted: _________________
Approved by Corporation Counsel: Yes No
*Must be retailed by city for at least 90 days after expiration of license*
Character References:
1. _____________________________________________________________________________________________________________
2. _____________________________________________________________________________________________________________
3. _____________________________________________________________________________________________________________
Signature of Applicant: ___________________________________________________________________________________________
License Issued By: ______________________________ City Clerk/Date: ________________________________
