Borough Of Fanwood Peddler Or Hawker License Application Form

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BOROUGH OF FANWOOD PEDDLER OR HAWKER LICENSE APPLICATION
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Name of Applicant:________________________________________________________________
Trade Name:_______________________________________________________________________
Home Address:_____________________________________________________________________
Telephone: Home:__________________________ Office:________________________________
Age of Applicant:_________________________ S.S.#:_________________________________
Signature of Applicant:_________________________________
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The undersigned hereby makes application for a license to carry on the business
of PEDDLER OR HAWKER. (Circle one)
(1) With Automobile; (2) With Hand Cart: or (3) On Foot without wheeled Vehicle
Within the Borough of Fanwood subject to the provisions of the Borough Code.
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1. NATURE OF GOODS TO BE SOLD:____________________________________________________
2 DESCRIPTION OF VEHICLE (If Applicable):_________________________________________
A. Year, Make and Color:________________________________________________________
B. License Plate No.:___________________________________________________________
C. Serial No.:__________________________________________________________________
D. Insurance Co.:_______________________________________________________________
E. Insurance Policy No.:________________________ Attach a copy of insurance card
F. Vehicle Owner:_______________________________________________________________
G. Home Address:_____________________________ H. Phone No.:_____________________
I. Business Address:_________________________ J. Bus. Phone:____________________
K. Driver Name(s):___________________________ L. Phone No.:_____________________
M. Driver Address(es):_______________________________________________________
N. Driver License Nos.:______________________ O. Attach copies of Driver Lic.(s)
3. BUSINESS OWNERSHIP:
A. Is Applicant the owner of the business?
YES__NO__
B. If No, name and home and business addresses of owner:________________________
Address (Home):__________________________ (Business):________________________
Phone No. (Home):________________________ (Business):________________________
C. List all Home Addresses of the Owner,Applicant, and/or Sellers(s) of goods
Drivers for the past ten (10) years on a separate sheet of paper.
D. Has the owner ever been convicted of a crime?
YES__NO__
E. Has the driver(s) and/or sellers ever been convicted of a crime?
YES__NO__
F. Has the applicant ever been convicted of a crime?
YES__NO__
G. Have owner, applicant, driver(s) and/or sellers ever been arrested? YES__NO__
H. Explain all affirmative answers to AD, 3E, 3F, and/or 3G.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Application is hereby made for the Applicant, each Driver and/or Seller to be
fingerprinted for a background investigation before any license may be issued. The
Applicant, Driver and/or Seller authorized to file this application must give
permission for such investigation to be conducted. Applicant hereby submits as
part of this application a Division of Motor Vehicles abstract for the owner,
applicant and each driver and/or seller.
REFERENCES:
1. _______________________ ADDRESS:_____________________ Phone No.________________
2. _______________________ ADDRESS:_____________________ Phone No.________________
Applicant, Owner, all Drivers, and/or Sellers hereby acknowledge and authorize the
release of all information
necessary to perform the background check required by
this Application, and waive any claims against the Borough and/or any of its
employees related to this release of information.
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APPROVED by Chief of Police:_________________________ Date:_______________________

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