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Proposed ha ar/days of operation:. <br />List all other individuals to be covered by the license or all individuals accompanying you while <br />conducting t hebvsinesR place -to -place: <br />Please list a three most recent cities andlor townships where you have conducted: business: as <br />a peddler,: s4 licitor.or transient merchant: <br />If you area plying for a transient. merchant license; please attached written permission from <br />the propert, owner.or the property owner's agent for any. property to be used. by your business <br />to this App cation: <br />Applicant ignatu-re:/;2,- 2�2, 46, <br />Date. r _. <br />Peddler, S ficitor or Transient Merchant License.Application Form page 3 <br />