T OWN O f C ARY P OLICE D EPARTMENT
APPLICATION FOR PERMIT TO SOLICIT / SELL
I
N C O M P L I A N C E W I T HS
E C T I O N20-3
O F T H E C O D E O F O R D I N A N C E S O F T H ET
O W N O FC
A R Y,
I H E R E B Y M A K E A P P L I C A T I O N F O R A P E R M I T T O S O L I C I T/
S E L L F O R:
Name of Employer or Organization: Address of Home Office:
Name of Immediate Supervisor: Supervisor’s Phone Number:
Name of Applicant (Last, First Middle): SS#:
Height: Weight: Race: Complexion: Eye Color: Hair Color:
Date of Birth: Place of Birth:
Driver’s License #: State of Issuance:
Local Mailing Address:
Permanent Mailing Address:
Home Ph#: Business Ph#:
Types of Goods/Services Offered for Sale:
List all criminal convictions and the location of the offense for the past (10) years:
(attach additional pages as necessary)
PERM IT VALID
F O R60 DAYS:
(T O B E C O M P L E T E D B Y P O L I C E S T A F F)
F
R O M: T
O:
I
H A V E R E A D T H E A T T A C H E D C O P Y O FS
E C T I O N20 -3 P
E D D L E R S A N DS
O L I C I T O R S O F T H EC
O D E O FO
R D I N A N C E S O F T H ET
O W N O FC
A R Y A N D A G R E E T O A B I D E B Y A L L P R O V I S I O N S S T I P U L A T E D T H E R E I N. I
U N D E R S T A N D T H A T T H E P E R M I T C A N B E D E N I E D U P O N A F I N D I N G O F R E A S O N A B L E C A U S E A S S T I P U L A T E D I N T H E
