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04/30/1999 11 :12 4824766230 FFPIR PAGE 09 <br /> FROM : CENT PHONE NO. : 651 429 9629 Jun. 24 1999 11t57AM P2 <br /> FdS: 00 0 QM ✓I.e ORC • <br /> +�- PAID: <br /> RECEIPT * <br /> TRANSIENT MERCHANT PEDDLER INFORMATION SMELT <br /> in an effort to provide the pL1bliu of the City of Centerville <br /> with the beat quality of life within its corporate ity Limits, <br /> the City has determined that the following inf r)nation be <br /> received from any and all persons or firms wieh:n to conduct <br /> door -tc -door sales and /or setting up a temporary gals site: <br /> 1. Name and description of applicant: (If more th n One person <br /> attach th feliowLn6 inform ;vAs ation on a separate heat) <br /> tisme; A ALP. ' . <br /> (First) (Middle) ( ast) 4 <br /> Eyes. ligae..--- Hair: t Height: ((�� <br /> Weight & build: _. Date of in .: 2L2S 7LP <br /> Urive:e License $; <br /> 7A.7 613- la(D5 <br /> M <br /> Include copy of D.L. <br /> .�� <br /> 2. Permanent. Home Address: 1,51460 bt - <br /> Dates of Occupancy " <br /> ccuvan :Y _ -VFW' _ -, <br /> Telephone Number <br /> 2 . 4 . . - C 7 / 1 . ti / orLa id tLO <br /> 1 • 4 a ri-o <br /> Dates of Occupancy - l <br /> Telephone Humber: __,_ <br /> S. L <br /> r tes- of Occui+ancy T <br /> Telephone Number: <br /> 4. . — <br /> Dates •_f Occupancy <br /> Telephone Number: <br /> r <br /> Dates of Occupancy <br /> ..._, Telephone Number: <br />