§ 112.09 APPLICATION FOR PERMIT.

Peddler - Any person, firm, association or organization who go from house to house, from place to place or from street to street conveying or exposing the goods, wares or merchandise for sale, or making sales and delivering articles to purchaser. (No permit to anyone peddling games, drugs, medicines, or articles prohibited and made unlawful for the protection of the public health and welfare)

Solicitor - Anyone attempting to make personal contact with any person at their residence without prior invitation or appointment with the resident for the primary purpose to sell, for present or future delivery, any goods, wares or merchandise, magazine subscriptions, or any services to be performed immediately or in the future, whether or not the person has, carries or exposes a sample of such goods, wares or merchandise and whether or not he/she is collecting advance payment for such sales and services; handing out flyers or printed matter; seeking or attempting to obtain contributions of money or any other thing of value for the benefit of any association, organization, corporation or program.

Instructions: Please print clearly. All questions MUST be answered.

If a questions does not apply, write N/A for non-applicable

Section 1. Applicant Information

Name of Applicant _____________________________ _____________ ___________________________________

First Name Middle Initial Last Name

(Exact name on birth certificate and/or driver’s license/IC card)

Home Address

Street________________________________ PO Box ______ City_________________Zip Code ______State ______

Years at this address: ________

*_______________________________________________________________________________ __________________

* (Previous Address is less than three years at current address)

Phone______________________ Cell Phone _______________________ E-Mail_______________________________

Drivers License # and state of issuance ________________________________________________________________

Social Security No.__________________________ Place of Birth___________________________________________

Height ________ Weight ________ Female/Male ______ Hair ________ Eyes_______

List the most recent counties, cities, or villages, if any, where you carried on business immediately preceding the date of this application (at least 2):

Has applicant ever been convicted of a felony under state’s law or the laws of the United States?

Yes____ No_______ Please explain__________________________________________________________________

Section 2. Company/Organization Represented

Name ________________________________________________________________________________ ___________

Street________________________ PO Box ______ City_________________________Zip Code ______State______

Phone______________________ Cell Phone ______________________ E-Mail________________________________

Date of Business/Company Organization___________________ State of Organization ________________________

Company Sales Tax #__________ Liability Insurance Company and Policy # _______________________________

Any other pertinent tax or licenses held by company (Attach copies with application for village file)

Relationship to Business (President, Secretary, Employee) ______________________________________________

If employee, years representing this company ________

If employee, Direct Owners/Supervisors name and phone number:

________________________________________________________________________________ ________________________________________________________________________________ ____________________________________

Section 3 Product - Service Description

Provide a thorough description of goods, merchandise or service to be peddled or solicited together with copies of all brochures, sales materials, applications, order forms, contracts, disclosures, business cards and any other documents to be used by peddler/solicitor while in the Village of Flanagan

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ _________

Section 4. Description of vehicle(s) if any, to be used in solicitation/peddling

Make____________________ Year _____________________ Model________________________________ Type_____________________ Color_____________________ License Plate #________________________

Section 5. Names and addresses of all that will be soliciting/peddling with your company (No more than five (5) (List vehicles above)

a.______________________________________________________________________________ _____

b.______________________________________________________________________________ _____

c.______________________________________________________________________________ ____

d.______________________________________________________________________________ ____

e.______________________________________________________________________________ _____

Have any people working with you ever been convicted of a felony under state’s law or the laws of the United States? Any registered sex offenders?

Yes____ No_______ Please explain__________________________________________________________________

Section 6. Permit Length - current calendar year (January l - December 31)

Starting date of permit __________________________ Ends December 31_________________

Section 7. Village Regulations (as per Village of Flanagan Ordinance #______)

1) A $100.00 administrative, application/processing fee is due at the time of the application. The fee is non-refundable.

2) Applications will only be accepted Monday through Friday from 9:00 AM -12 Noon at the Village of Flanagan Office along with a two inch photograph of the applicant, and must be turned in 60 days prior to when applicant wishes to begin.

3) Permit is good only during the current calendar year. A new application must be resubmitted each January 1st.

4) The Village of Flanagan Ordinance prohibits peddling or solicitation at any residence displaying a “No Solicitor or Peddler Invited” sign or similar notice. Peddler/solicitor must leave a residence as soon as they are asked to leave without question.

5) Solicitor/Peddlers must display their permit.

6) The Village of Flanagan prohibits soliciting/peddling prior to 9:00 AM and after 6:00 PM on any weekdays, Saturday hours 9:00 AM -12 Noon. No soliciting or peddling on Sunday or any State or National holidays is permitted.

7) Permits are NOT required for public entities, religious, charitable, school, non-profit organizations and/or government mandated solicitation. It shall not apply to any person selling or attempting to sell at wholesale, goods, wares, products, merchandise or other personal property, to a local retailer. A permit is not needed for anyone establishing or trying to establish a regular customer delivery route for the delivery of perishable food/dairy products, newspapers, etc. In addition persons conducting garage sales, rummage sales, estate sales or flea market shall be exempt from the definition of peddlers/solicitors. Halloween activities are also exempt. Applications and permits are not necessary for companies privately hired by a resident or business to do work and/or furnish goods.

I hereby solemnly swear and affirm under penalty of law that I have read and understood all of the questions in this application and that all of the foregoing information and statements submitted in this application and its attachments and supporting documents are true and correct to the best of my knowledge, and that all responses to the questions are full and complete, omitting no material information. The responses include all material information necessary to fully and accurately identify and explain the operations, capabilities, and pertinent history of the affiliated request as well as the ownership, control and affiliations thereof, if applicable. I also affirm that I am a person authorized to execute said application and this agreement.

I also hereby authorize the Village of Flanagan to investigate and verify the information contained herein and waive any rights of privacy I may have to the information contained therein and indemnify and hold harmless the Village of Flanagan, its officers, employees, agents and assigns for any and all claims or damages (including attorney fees) resulting from said investigation.

DENIAL OR REVOCATION OF A LICENSE

This application for a permit may be denied if the applicant made any material misrepresentation or false statements. The permit may also be revoked if anyone listed in this application fails to conduct and/or supervise solicitation/peddling activities in any manner as to constitute a nuisance, crime, fraud or trespass or invasion of privacy. I also understand that in the event my application is denied, the sources of confidential information will not be revealed to me.

Signature of Applicant ________________________________________ Dated _______________________

For Office Use Only

Date Approved _______________

Calendar Year ________________

Administrative, Application/Processing Fee ($100.00) _____________ Date Paid____________________________

Approved by: Village of Flanagan Board

President_____________________________ Date___________________

Permit issued by Village Office Manager

____________________________________ Date ___________________

(Document “Application for Permit for Peddler-Solicitor”)

Disclaimer: This Code of Ordinances and/or any other documents that appear on this site may not reflect the most current legislation adopted by the Municipality. American Legal Publishing provides these documents for informational purposes only. These documents should not be relied upon as the definitive authority for local legislation. Additionally, the formatting and pagination of the posted documents varies from the formatting and pagination of the official copy. The official printed copy of a Code of Ordinances should be consulted prior to any action being taken. For further information regarding the official version of any of this Code of Ordinances or other documents posted on this site, please contact the Municipality directly or contact American Legal Publishing toll-free at 800-445-5588.

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