Each applicant for a certificate of registration shall, within five days of application therefor, furnish the Safety Director or his or her authorized representative with the following information on forms provided by the City:
(a) The name, age, Social Security number and physical description of the applicant;
(b) A complete permanent and local address of the applicant along with the Social Security number or the tax identification number of the applicant's employer;
(c) The name and address of the person, firm, corporation or association for whom or which the canvassing, soliciting or peddling is presently being made and any other person, firm, corporation, or association for whom or which the applicant has solicited during the past three years;
(d) A general description of the nature of the business and the goods, services or wares to be sold, or a description that is otherwise sufficient to identify the subject matter of the canvassing, soliciting or peddling in which the applicant will engage;
(e) The names of all other municipalities in which the applicant has conducted canvassing, soliciting or peddling activities during the past 12 months;
(f) A statement as to whether the applicant has complied with the requirements of Ohio R.C. Chapter 1716 pertaining to charitable solicitations, if applicable;
(g) A statement as to whether the applicant has ever had a permit revoked, including the time and place of such revocation;
(h) A statement as to whether the applicant has ever been convicted of a felony violation or a misdemeanor violation involving moral turpitude, including the time and place of such conviction;
(i) The proposed dates and times of the canvassing, solicitation or peddling;
(j) The make, model, year, color and license plate number of automobiles used by the applicant during the period of canvassing, solicitation or peddling within the City, and the number of the applicant's driver's license and the state of issuance of such license;
(k) Two photographs of the applicant of appropriate size (approximately two inches by two inches), one of which shall be attached at all times to the certificate and the other of which shall be for the records of the Police Department; and
(l) The City income tax form which shall be filled out and filed with the application.
(Ord.2003-O-04. Passed 4-22-03.)