Town Of Prescott Valley Business License Division

Peddler's License

Dec 12, 2025
submission #258
Peddler's License Application

Applicant Information

First Name Nicole
Last Name Leal
Home Address (No PO Boxes) ---
Mailing Address ---
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? ---