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Peddler: SoU tor or Transient Merchant, <br />License A R21iodona..:- y <br />-T City of Gem.Lake, Minnesota <br />4200: Otter Lake Road, Gem.. take, MN 55110 <br />651747-2790192 - fax 651747-2795 <br />n <br />fur. Q= Peddler License Solicitor License ❑ Transient Merchant License <br />Initial Application Or Renewal Application <br />Dates you ir tend to conduct.business in the City of Gem Lake: <br />Number of 1 lays you will Conduct business: in the City: `� � 5 <br />P AN (Please.print);. <br />[Full legal n ame): <br />Any. other r ames/allases under whi& you conduct business or officially answer - <br />!)river's tirise of MN I17 Number- j ~ <br />Physical U trip tion: <br />XN <br />Eye Color Hair Color Height. Weight <br />Permanent sidence address Residence Phone Number <br />Circle one, I Have[Have not been convicted within the last five. year. of.a felony, gross <br />rnisdeme or, or misdemeanor. for violation of. any state or federal statute or any local <br />ordinance Cher than misdemeanor traffic offenses). <br />VEHICLE NFORMATION: (Please include information for all vehicles to be. used in <br />conjundioi with the license. Attach an additional sheet if necessary). <br />Make. Model Year <br />Color License Plate Number/State . Vehicle identification <br />Peddler, ScI16tor or Transient Merchant License Application Form. page 1 <br />