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License Application for Peddlers, Canvassers, & Transient Merchants

  1. LICENSE APPLICATION FOR PEDDLERS, CANVASSERS, & TRANSIENT MERCHANTS

  2. Non-Refundable License Fee: $125 includes background check. In accordance with Municipal Code Chapter 12, Section 12.05 THE FOLLOWING QUESTIONS MUST BE ANSWERED COMPLETELY.

  3. Applicant Information

  4. First/M.I./Last

  5. Street/City/State/Zip

  6. Have you ever been TICKETED, ARRESTED, CONVICTED or FINED for ANY VIOLATION of FEDERAL, STATE or CITY LAWS RELATED TO THE APPLICANT’S TRANSIENT MERCHANT BUSINESS OR SOLICITING WITHIN THE LAST FIVE (5) YEARS – including felony, misdemeanor, civil offenses and/or traffic offenses?*

  7. Information Regarding the Business or Organization Requesting License

  8. Date/Municipality

  9. Date/ Municipality

  10. Date/Municipality

  11. Is food license required:*

  12. $500 Surety Bond Required?

    (Check yes if applicant is not a Waukesha County resident or represents a firm whose principal place of business is located outside of the State).

  13. The undersigned hereby applies for a Peddler’s License under the provisions of the City of Delafield Municipal Code Chapter 12.05. I certify that I am familiar with the laws, ordinances and regulations pertaining to this license, and I hereby agree if granted said license, to obey all provisions of said laws, including the time limitation. No person shall conduct any of the activities enumerated in Sub. (1) of City of Delafield Municipal Code Section 12.05 except between the hours of 8:00 AM and 7:00 PM or dusk, whichever occurs earlier.

  14. I understand incomplete and incorrect information may lead to the denial of this license.

  15. By Submitting this form, you have read and understand the information in this application and will adhere to all rules and regulations set forth by the City of Delafield.

  16. Leave This Blank:

  17. This field is not part of the form submission.