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<br /> <br />, <br />.. <br /> <br />FEE: <br />PAID: <br />RECEIPT # <br />TRANSIENT MERCHANT, PEDDLER INFORMATION SHEET <br /> <br />In an effort to provide the public of the City of Centerville <br />with the best quality of life within its corporate City Limits, <br />the City has determined that the following information be <br />received from any and all persons or firms wishing to conduct <br />door-to-door sales and/or setting up a temporary sales site: <br /> <br />1. Name and description of applicant: (If more than one person <br />attach the following information on a separate sheet) <br /> <br />NalTJe : <br /> <br />(First,) <br /> <br />(Middle) <br /> <br />(Last, ) <br /> <br />Eyes: Hair: <br />Weigllt, & bllilcl: <br />Drivers License #: <br /> <br />Heig}lt: <br />Date of Bi:et,}l: <br /> <br />Include copy of D.L. <br /> <br />2. Permanent Home Address: 1. <br /> <br />Dates of Occupancy <br />Telephone Number: <br /> <br />2. <br /> <br />Dates of Occupancy <br />Telephone Number: <br /> <br />3. <br /> <br />Dates of Occupancy <br />Telephone Number: <br /> <br />4.. <br /> <br />Dates of Occupancy <br />Telephone Number: <br /> <br />5 . <br /> <br />Dates of Occupancy <br />Telephone Number: <br />