Peddler's License Application
Applicant Information
| First Name |
Danny
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| Last Name |
Briseno
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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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| Social Security # |
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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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Business Name & Location
| 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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| License Plate # |
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