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<br /> <br /> <br /> <br /> <br /> <br /> <br />FEE: <br /> <br />PAID: <br /> <br />RECEIPT #: <br /> <br /> <br />TRANSIENT MERCHANT, PEDDLER INFORMATION/APPLICATION <br />SHEET <br /> <br />In an effort to provide the public of the City of Centerville with the best quality of life within its <br />corporate City Limits, the City has determined that the following information be received from <br />any and all persons or firms wishing to conduct door-to-door sales and/or setting up a temporary <br />sales site: <br /> <br />1. Name and description of applicant: (If more than one person, attach the following <br />information on a separate sheet) <br /> <br /> Name: <br /> (First) (Middle) (Last) <br /> <br /> Eyes: Hair: Height: <br /> <br /> Weight & Build: Date of Birth: <br /> <br /> Drivers License #: <br /> (Include a copy of Driver’s License) <br /> <br />2. Permanent Home Address: 1. <br /> <br /> <br /> <br /> Dates of Occupancy: <br /> <br /> Telephone Number: <br /> <br /> <br />2. <br /> <br /> <br /> <br />