Fillable Wethersfield, Connecticut Police Department 250 Silas Deane Highway (Town of Wethersfield)

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Wethersfield, Connecticut Police Department 250 Silas Deane Highway (Town of Wethersfield)

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The Wethersfield, Connecticut Police Department 250 Silas Deane Highway (Town of Wethersfield) form is 2 pages long and contains:

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BROWSE TOWN OF WETHERSFIELD (CT) FORMS

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Wethersfield, Connecticut
Police Department
250 Silas Deane Highway
Wethersfield, CT 06109
Application for Peddlers and Solicitors Permit
Name __________________________________________________________________________
Address (Local) _________________________________________________________________
Address (Permanent) ____________________________________________________________
Phone: Home ___________________ Cell ___________________ Bus __________________
Date of Birth ____________________ Place of Birth _________________________________
SS# ____________________________________________________________________________
Height __________ Weight ________ Hair Color __________ Eye Color ______________
Company or Organization Information
Check one:
Business Charity Non-Profit Other
Explain: ________________________________________________________________________
________________________________________________________________________________
Name of Company or Organization: ______________________________________________
Address: ________________________________________________________________________
State Sales Tax Number: ________________________________________________________
Name of Company or Organization CEO: _________________________________________
Address of CEO: ________________________________________________________________
Describe Nature of Business and Goods to be sold: ______________________________
________________________________________________________________________________
Vehicle Being Used (if any):
Year ____________ Make _________________ Model _______________ Color ____________
Marker #_______________________Marker State _________________
Any Criminal Arrests ___________________________________________________________
________________________________________________________________________________
(Use reverse side if more space is needed)
Convictions in Court ____________________________________________________________
________________________________________________________________________________
(Use reverse side if more space is needed)
I have been supplied with a copy of the rules and regulations which pertain to
permit peddlers and solicitors and I agree to comply with the rules should a permit
be granted to me.
I agree that if I have falsified any item in this application, I will not be entitled to
the permit and subject to a criminal arrest.
Date: _________________ Applicant's Signature: ____________________________________
All applicants must provide positive identification when submitting this
application. Applicants will be fingerprinted at the time of application and their
photograph will be taken. Applicants will be notified, at their designated address
within five days of the receipt of application, if the permit is granted or denied.
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Wethersfield, Connecticut Police Department 250 Silas Deane Highway (Town of Wethersfield)

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Completed 17 July 2020

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