Peddler's License Application
Applicant Information
First Name |
Alex
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Last Name |
Timlick
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Home Address (No PO Boxes) |
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Mailing Address |
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Phone Number |
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Date of Birth |
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Weight |
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Height |
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Sex |
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Hair Color |
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Eye Color |
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Driver's License # |
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DL State Issued |
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DL Expiration Date |
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Please include a recent photograph approximately two inches by two inches (2"x2") showing the head and shoulders of the applicant in a clear and distinguishing manner |
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Have you ever been convicted of any crime, misdemeanor or violation of any municipal ordinance other than traffic violations? |
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Employment History
Business Name, Address, Phone Number and Length of Employment: |
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Business Name & Location
Business/Company Name |
Glyde solar LLC
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Business Address |
380 W Data Dr Ste 400, Draper UT 84020-2375
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Business Mailing Address |
380 W Data Dr Ste 400, Draper UT 84020-2375
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Business Phone Number |
+18884445936
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Please provide a brief description of the nature of the business and the goods to be sold: |
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Please provide the source of supply of the goods or property proposed to be sold, or orders taken for the sale thereof; the location of the goods or products at the time this application is filed; and the proposed method of delivery: |
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Vehicle Information; Which car will you be driving? |
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Vehicle information
Make |
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Model |
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Year |
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Color |
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State |
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