SolicitorPermitApplication‐Page1of2
800ThirdStreetMarbleFalls,TX78654
Phone:(830)6933615Fax:(830)6936737
Email:cmcdonald@marblefallstx.gov
SOLICITORPERMITAPPLICATION
Date
COMPANY/ORGANIZATION
Company/OrganizationName:
Address:
TelephoneNumber:
FaxNumber:
Completelistofgoodstobesoldand/orservicesdelivered:
APPLICANT
ApplicantsName:
Address:
Hm.Phone:
Wk.Phone: CellPhone:
DateofBirth:
Driver'sLicenseNumber:
State: OR
SocialSecurityNumber:
,andOfficialGovernmentIssuedPicture
IdentificationCardNumber:
Haveyoueverbeenconvictedofafelonyinvolvingtheft,fraud,bribery,orperjury?
Yes No
Ifanswerisyes,pleasegivefullstatementastotheplaceofconvictionandthecrimeforwhichyouwere convicted
Iswearoraffirmthattheabovestatementsaretrueandcorrect.
Applicant’sSignature
VEHICLESTO
BEUSEDINSOLICITING
Vehicle#1:
Year
Make/Model LicensePlateNo. State
Vehicle#2:
Year
Make/Model LicensePlateNo. State
click to sign
signature
click to edit
SolicitorPermitApplication‐Page2of2
APPLICANT'SASSOCIATES
ASSOCIATE#1Name:
Address:
Hm.Phone:
Wk.Phone: CellPhone:
DateofBirth:
Driver'sLicenseNumber:
State: OR
SocialSecurityNumber:
,andOfficialGovernmentIssuedPicture
IdentificationCardNumber:
Iswearoraffirmthattheabovestatementsaretrueandcorrect.
Applicant’sSignature
ASSOCIATE#2Name:
Address:
Hm.Phone:
Wk.Phone: CellPhone:
DateofBirth:
Driver'sLicenseNumber:
State: OR
SocialSecurityNumber:
,andOfficialGovernmentIssuedPicture
IdentificationCardNumber:
Iswearoraffirmthattheabovestatementsaretrueandcorrect.
Applicant’sSignature
ATTACHMENTS:(Incompleteapplicationswillnotbeconsidered)
AgreementtoGrantPermissionforuseofPrivatePropertyForm
NoticeofSolicitorOrdinanceRegulations
SitePlanofSubjectProperty
CurrentcopyofVehicle’sProofofLiabilityInsurance
CurrentcopyofStateofTexasSalesandUseTaxPermit
CurrentCopyofMobileFoodVendorLicenseorRoadsideFoodVendorLicense
FORCITYUSEONLY:
DateReceived:
ApplicationDenied:
ApplicationApproved:
Comments:
Permit#(s): DateIssued: Fee: Pd: Ck Cash
click to sign
signature
click to edit
click to sign
signature
click to edit