Fillable APPLICATION FOR PEDDLERS/SOLICITORS/TRANSIENT MERCHANTS PERMIT Applicant Information (City of Jordan, MN)

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APPLICATION FOR PEDDLERS/SOLICITORS/TRANSIENT MERCHANTS PERMIT Applicant Information (City of Jordan, MN)

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The APPLICATION FOR PEDDLERS/SOLICITORS/TRANSIENT MERCHANTS PERMIT Applicant Information (City of Jordan, MN) form is 3 pages long and contains:

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  • 4 check-boxes
  • 90 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Jordan, MN

BROWSE CITY OF JORDAN, MN (MN) FORMS

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APPLICATION FOR PEDDLERS/SOLICITORS/TRANSIENT
MERCHANTS PERMIT
Date of Request:___________
Applicant Information
Full Legal Name: _______________________________________________________________________
Phone: __________________________________ Email: _______________________________________
Permanent Address: ___________________________________________________________________
Applicant’s Driver’s License #___________________________Applicant’s Birth Date: ______________
Full Legal Name of any and all business operations owned, managed, or operated by applicant:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Address: ____________________________________________ Phone: __________________________
Brief description of the nature of the business and the goods to be sold: _________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Dates which the applicant intends to do business____________________________________________
Any and all addresses and telephone numbers where the applicant can be reached while conducting
business in the City: ____________________________________________________________________
_____________________________________________________________________________________
Names and addresses of an individuals who will participate in the licensed sales campaign:
_____________________________________________________________________________________
_____________________________________________________________________________________
Description and license plate number for any vehicle to be used: _______________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Statement as to whether or not the applicant has been convicted within the last five years of any
felony, gross misdemeanor, or misdemeanor for violations of any state or federal Statutes of any local
ordinance, other than traffic offenses:_____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
List of most recent locations where the applicant has done business: ____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
The building intended to be utilized (by a transient merchant) and written permission of the owner of
the property: _________________________________________________________________________
_____________________________________________________________________________________
A general description of the items to be sold or services to be provided: _________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Any additional information deemed necessary by the City Council: _____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
APPLICANT NOTE: Make check/money order payable to: City of Jordan
APPLICANT’S SIGNATURE: _______________________________________________________________
Applicant has attached a copy of the following to this Application:
1. A certificate of insurance that complies with the insurance requirements of City of Jordan
Code § 124.03(c)(1)-(2);
2. Written consent of the private property owner identified above, if any;
3. If the merchant is part of a community special event, written consent from the event
coordinator is required;
4. A copy of each related license or permit granted by Scott County, Minnesota or any other
agency pursuant to Minnesota Statutes, Chapter 157 or 28A; and
5. Applicant’s state sales tax identification number.
I HAVE RECEIVED FROM THE ABOVE APPLICANT THE AMOUNT INDICATED IN PAYMENT FOR
PEDDLER/TRANSIENT MERCHANT LICENSE:
Total Amount Due: $____________Received by: ________________Date:______________
CITY ADMINISTRATOR APPROVAL: ___________________
CITY ADMINISTRATOR DENIAL: ______________________
REASON: ____________________________________________________________________
___________________________________________________________________________
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APPLICATION FOR PEDDLERSSOLICITORSTRANSIENT MERCHANTS PERMIT Applicant Information (City of Jordan, MN)

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Completed 9 February 2021

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