Town Of Prescott Valley Business License Division

Peddler's License

May 09, 2025
submission #219
Peddler's License Application

Applicant Information

First Name Juan
Last Name Pineda
Home Address (No PO Boxes) ---
Phone Number ---
Date of Birth ---
Weight ---
Height ---
Sex ---
Hair Color ---
Eye Color ---
Have you ever been convicted of any crime, misdemeanor or violation of any municipal ordinance other than traffic violations? ---