Form Center

2. 

3. City of Kingsford

   The Progressive City

5. The undersigned hereby makes application for a peddler’s license pursuant to the City of Kingsford Code of Ordinances Section 28-3 and being duly sworn under oath states:
7. Name
8. Age
9. Phone Number
10. Email
12. Residence Address
14. City
15. State
16. Zip Code
18. Purpose of License
20. Company Name
21. Company Phone Number
23. Are you:

    1. Independent Contractor
    2. Company Owner
24. Dates Requested
    Dates Requested Start Date

    —

    Dates Requested End Date
28. Mode of Transportation
29. Vehicle Make & Model
30. License Plate Number
32. Drive's License Number
33. Other Identification
35. Will there be additional people assisting the application?

    1. Yes
    2. No
36. Please list names and supply copy of driver’s license.
40. Nature of article(s) to be sold or offered for sale:
42. How are these articles to be sold (by width, measure, package, etc.)
44. Peddlers license number, if any, from any municipality other than the City of Kingsford
46. Peddlers license number, if any, from the state
48. Electronic Signature Agreement

    If a license is issued to me, I agree to abide by the City of Kingsford Code of Ordinances Section 28 and all other laws regulating or pertaining to the business which I propose to engage. I understand that the City is relying on the statements contained herein and certify that the statements are true and accurate.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
50. Electronic Signature
52. Submit Your Application

    To submit your application, print out the completed application and drop it off in person to our office with proof of state-issued identification for the applicant and anyone assisting the applicant.

54. City of Kingsford

    305 S. Carpenter Avenue

    PH: (906)774-3526

    Fax: (906)774-7093

    City of Kingsford's Website

    
    

    This institution is an Equal Opportunity Provider and Employer

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55. Print Only

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