All applicants and listed vendors must submit a criminal background check valid

Transcription

1 AMENDMENT TO APPLICATION Receipt # Receipt # Date Submitted Date Submitted Amunt paid Amunt paid COMMERCIAL VENDOR APPLICATION PEDDLING, SOLICITING, SPECIAL EVENT VENDOR, VENDOR AT ATHLETIC EVENT Chapter 26, Businesses, Article IV, Peddlers, Cmmercial Vendrs & Slicitrs Applicatins must be submitted n later than furteen days prir t the requested effective date (a) Fees listed belw. Fees are nn-refundable. Peddling - traveling by ft r autmtive vehicle frm place t place r frm street t street, carrying, cnveying r transprting gds, wares, merchandise, including fd prducts, ffering and expsing the same fr sale r making sales and delivering articles t purchasers, r taking r attempting t take rders fr the sale f gds, wares and merchandise, bks r magazines, persnal prperty f any nature whatsever fr future delivery, r fr services t be furnished r perfrmed in the future, whether r nt such individual has, carries r expses fr sale a sample f the subject f such sale r whether the subject is cllecting advanced payments n such sales r nt. Fees: Applicatin Fee: $50.00 Daily Fee Optin: $10.00 per day/peddler Backgrund check All applicants and listed peddlers must submit a criminal backgrund check valid within 30 days f applicatin. Please visit t perfrm backgrund check t be submitted with the applicatin. Backgrund check fee Yearly Fee Optin: $1, (calendar year January 1 t December 31) Amendment t the Applicatin: $16.00 Sliciting - charitable, religius, plitical rganizatin any persn wh requests mney, credit, prperty, financial assistance r ther thing f value, by persnal interview r therwise, n the plea r representatin that such mney, credit, prperty, financial assistance r ther thing f value, r the net prceeds ver reasnable expenses theref, will be used fr a charitable, religius, patritic, civic, educatinal r philanthrpic purpses. N applicatin fee Fees: Backgrund check: All applicants and listed slicitrs must submit a criminal backgrund check valid within 30 days f applicatin. Please visit t perfrm backgrund check t be submitted with the applicatin. Backgrund check fee Vending during special events - any cmmercial vendr engaged in the sale f gds, wares, r merchandise, including fd prducts, n public prperty at a statinary r fixed lcatin during a special event in the lcatin f the special event. (see definitin f cmmercial vendr) NOTE: Vendrs wh wish t perate during a special event must btain apprval frm the event crdinatr. The vendr applicatin must be submitted at least tw weeks prir t the event. Fees: *Applicatin Fee: $50.00 *Daily Fee: $10.00 per day/per peddler/per lcatin *50% discunt fr Birmingham licensed merchants Backgrund check: All applicants and listed vendrs must submit a criminal backgrund check valid within 30 days f applicatin. Please visit t perfrm 1

2 backgrund check t be submitted with the applicatin. Backgrund check fee Vending at schl r ther athletic events in city parks - any cmmercial vendr engaged in the sale f gds, wares, r merchandise, including fd prducts, n City prperty at a statinary r fixed lcatin during schl r ther athletic events at City parks. (see definitin f cmmercial vendr) Fees: *Applicatin Fee: $50.00 *Daily Fee: $10.00 per day/per peddler/per lcatin *50% discunt fr Birmingham licensed merchants Backgrund check: All applicants and listed vendrs must submit a criminal backgrund check valid within 30 days f applicatin. Please visit t perfrm backgrund check t be submitted with the applicatin. Backgrund check fee Definitin f Cmmercial Vendr: Cmmercial vendr shall mean any persn ffering, expsing fr sale r making available fr a price r dnatin, making sales and delivering articles t purchasers, r taking r attempting t take rders fr sale f gds, fdstuffs r services f any kind, fr immediate r future delivery r perfrmance, whether r nt such persn has, carries r expses fr sale a sample f the subject f such sale r whether r nt the persn is cllecting advance payment n such sale, by any f the fllwing: (1) Frzen Cnfectin Vendrs, (2) Special Event Vendr, (3) Schl Vendr r ther Vendr at an athletic event in a City park. APPLICANT INFORMATION - PLEASE PRINT 1. Full Name: 2. Address (residence): (include city, state, and zip) 3. Phne: Fax: Length at residence: years mnths 6. Driver s License #: Vehicle Plate #: If vehicle is t be used: Year Make Mdel 7. Height: Weight: Clr f Hair: Clr f Eyes: Date f Birth: ORGANIZATION/BUSINESS INFORMATION - PLEASE PRINT 1. Organizatin/Business Name: 2. Address (business): (include city, state, and zip) 2

3 3. Phne: Fax: 4. Is the rganizatin/business tax exempt/charitable? 5. Is the rganizatin/business licensed t slicit by the State f Michigan? 6. Type f rganizatin/business? 7. If emplyed r acting as an agent fr a parent cmpany: Organizatin: Phne Address (business): (include city, state, and zip) Type f Organizatin: DETAILS OF ACTIVITY 1. Date & Time f Operatin: (Nte: Sliciting and peddling is allwed frm 9:00 AM t 5:00 PM EST and frm 9:00 AM t 8:00 PM during State f Michigan daylight savings time.) Dates: Frm:, 20 (Mnth and Day) T:, 20 (Mnth and Day) Hurs: Frm: A.M. / P.M. T: A.M. / P.M. 2. Brief Descriptin f activity t be cnducted: 3. Indicate type f sliciting/peddling/vending: FOOD ( ) MERCHANDISE ( ) 4. Gds r services t be sld: (Sales are limited t the prducts specified n the applicatin.) 5. Lcatin f activity t be cnducted (check all applicable): residential - dr t dr business - dr t dr special event (apprval by event crdinatr is required) ther 6. Number f peddlers, slicitrs r vending lcatins (as set by event crdinatr): 3

4 ADDITIONAL INFORMATION 1. Is this yur first time applying fr a sliciting/peddling/vending permit in Birmingham this year? If n, list the dates f yur previus applicatin: 2. Have yu r yur emplyer ever been cnvicted f any crime, misdemeanr, felny, r vilatin f any municipal rdinance? YES NO If answer is yes, give particulars f each charge and state dispsitin f each: 3. Have yu r yur emplyer ever had a vendr/sliciting/peddling license revked in anther City? YES NO If answer is yes, please describe the circumstances, including the year(s) the license was revked: 4. List three references, wh will certify as t the applicant s gd mral character and business respnsibility: Name: Phne #: Name: Phne #: Name: Phne #: 5. Vendrs Only: D yu plan t use a tent? If yes, hw many? Size f each tent: Tent #1 Tent #2 Tent #3 Cntact the Cmmunity Develpment Department fr infrmatin n tent, electrical, and sign permits. ( ) 6. Slicitrs, peddlers, and vendr must include the fllwing infrmatin fr each slicitr/peddler/vendr. Attach additinal sheet if necessary. PLEASE PRINT CLEARLY. Include a cpy f the Drivers License r State ID. Please nte: All applicants and vendrs/slicitrs listed belw must submit a criminal backgrund check valid within 30 days f applicatin. Please visit t perfrm backgrund check t be submitted with the applicatin. Backgrund check fee 4

5 LIST OF SOLICITORS, PEDDLERS, VENDORS Full Name Address Phne # Sex Date f Birth Driver s License # SIGNATURE OF APPLICANT The issuance f a sliciting/peddling/vending permit is fr the individual r cmpany applying fr such permit. Permit(s) are nt transferable. Vilatins resulting frm transfer f wnership will result in lss f permit(s). Vilatrs will be subject t a municipal civil infractin. In accrdance with City Ordinance, slicitrs/peddlers/vendrs must display the license issued s that it is visible t any persn dealing with the slicitr/peddler/vendr. The City shall have the right t investigate and verify the infrmatin cntained in this applicatin. I understand that any amendments t the riginally apprved applicatin must be submitted t the City Clerk fr review and apprval and shall nt be effective prir t such apprval. I understand that my peddler/vendr/slicitr license may be revked by the City fr any f the reasns stated in Chapter 26 f the City Cde. I hereby certify that the freging statements are true and accurate t the best f my knwledge and belief and that I have read the city s sliciting/peddling/vending rdinance and agree t abide by its terms. Signature f Applicant: Date: (See next page fr a list f items t be submitted with this applicatin.) 5

6 The fllwing infrmatin must be submitted with the applicatin: Applicatin and Daily Fees (payable t the City f Birmingham) 2 x 2 phtgraph f applicant (taken within 60 days) Cpies f drivers license r state ID fr applicant and each slicitr, peddler, vendr Criminal backgrund check fr applicant and each slicitr, peddler, vendr Cpies f licenses/permits required by state law (example: State f MI slicitr license r tax exempt/charitable status) List dcument(s) submitted: Must cmply with all requirements f the Oakland Cunty Health Department FOR CITY USE ONLY DEPARTMENT REVIEWS: APPROVAL BY CLERK S OFFICE (review f applicatin t cnfirm all required infrmatin has been submitted) APPROVAL BY POLICE DEPT (review f applicant and emplyee backgrund, inspectin f frzen cnfectin vehicle) If denied, reasn fr denial: APPROVAL BY TREASURER (review fr utstanding fees due t the city) Revised 07/12/13 6