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& PEDDLER LICENSE APPLICATION SECTION #12-1001 PHONE #: ORGANIZATION NAME: ORGANIZATION ADDRESS: STATE: CITY: ZIP: PERSON IN CHARGE OF THIS EVENT: PHONE #: DATES OF SOLICITATION: FROM: THROUGH: SOLICITING FOR: (SERVICE OR PRODUCT). APPLICATION MUST BE ACCOMPANIED BY ALL RELATED DOCUMENTS AT TIME OF SUBMITTAL. LOCATION OF SOLICITATION: (Please check all that apply). 1. DOOR TO DOOR 2. SHOPPING CENTER (Letter from owner of shopping center required). 3. INTERSECTION (TAGGING) (Provide.

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