Town Of Prescott Valley Business License Division

Peddler's License

Nov 01, 2023
submission #136
Peddler's License Application

Applicant Information

First Name Alex
Last Name Timlick
Home Address (No PO Boxes) ---
Mailing Address ---
Phone Number ---
Date of Birth ---
Weight ---
Height ---
Sex ---
Hair Color ---
Eye Color ---
Driver's License # ---
DL State Issued ---
DL Expiration Date ---
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 ---
Have you ever been convicted of any crime, misdemeanor or violation of any municipal ordinance other than traffic violations? ---

Employment History

Business Name, Address, Phone Number and Length of Employment: ---

Business Name & Location

Business/Company Name Glyde solar LLC
Business Address 380 W Data Dr Ste 400, Draper UT 84020-2375
Business Mailing Address 380 W Data Dr Ste 400, Draper UT 84020-2375
Business Phone Number +18884445936
Please provide a brief description of the nature of the business and the goods to be sold: ---
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: ---
Vehicle Information; Which car will you be driving? ---

Vehicle information

Make ---
Model ---
Year ---
Color ---
State ---