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APPLICATION FOR SOLICITOR'S LICENSE <br />CITY OF LITTLE CANADA <br />515 East Little Canada Road <br />Little Canada, MN 55117 <br />(612) 484 -2177 -- Fax (612) 484 -4538 <br />"PLEASE PRINT" <br />Name of Applicant: <br />Name of Organisation: <br />Name of Contact Person: <br />Address: <br />Product Sold: <br />Permit # <br />Fee: $ <br />Phone #: <br />Will product be delivered at time of sale? Yes or No (circle one) <br />Dates Soliciting in City: <br />Has your soliciting license ever been revoked in other cities? Yes or No (circle one) <br />If yes, why? <br />Date: Signed <br />"The City reserves the right to deny or cancel this license at any time for any cause" <br />The following items should be submitted with this application: <br />[ 1 Organization's Articles of Incorporation, if any. <br />[ 1 Registrations or certificates from the State of Minnesota, if any. <br />[ I Brochure or written information about organization and /or product that will be sold. <br />[ 1 List of all persons soliciting along with their social security #'s and driver's license #'s. <br />ss********** s**" s******** s sss "" **r** *"**s** *s** * ****sss** »MSS* * * **ss*** " * * * " * *s *** * ** <br />FOR OFFICE USE ONLY <br />Comments:: <br />Approved <br />Page 10 <br />