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s"^'~ CITY OF SAN LEANDRO <br />~~~ ~ ~4o Finance Department <br />v' + 0 835 East 14th Street, San Leandro, California 94577 <br />(510) 577-3468 or 577-3392 <br /> <br />~`~° <br />^~^ ^ New License & Permit Fee <br /> <br />$2~L•~, <br />Business License Fee $1~ ~. <br />Peddler/Solicitor Permit Fee $25 <br />`oou^tE° FingerprinUBackground Ck $32 <br />PEDDLER /SOLICITOR PERMIT APPLICATION PD Admin. Fee $25 <br />INSTRUCTIONS: ^ Renewal License & Permit Fee <br />1. Fill out application completely. $155 <br />2. Attach originals of the following required information to your application: Business License Fee $130 <br />a. Two (2) identical and current passport size color photographs showing full Peddler/Solicitor Permit Fee $25 <br />face view. <br />b. Proof of insurance (Certificate of Insurance). <br />c. Current Vehicle/Trailer DMV Registration. <br />d. Food Vendors Only -Alameda County Health Permit. <br />Optional <br />Shoreline Recreation Permit Fee <br />3. Pay your fees to the San Leandro Finance Department, 835 E. 14th Street, $100 <br />Cashier's Office. Ice-Cream Vendors Only <br />4. NEW APPLICANTS ONLY -Schedule an appointment for fingerprinting at the <br />Police Department -CALL (510) 577-3279. ^ Yes ^ No <br />Please complete the following: <br />Business Name <br />Last Name First Middle <br />Home Address <br /> <br />City, State, Zip <br /> <br />Home Phone Cell Phone/Pager Email Address <br />Date of Birth Age Social Security No. <br />Drivers License No. Expiration Date <br />Description of Type of Goods to be sold: <br />State Resale No. <br />LEGAL. If you have ever been arrested or convicted of any crime, misdemeanor or violation of any state or federal law or municipal <br />ordinance (other than minor traffic and parking offenses), please give the following information: <br />Approximate Date Police Agency Nature of Offense -Punishment or Penalty Assessed <br /> <br /> <br /> <br />DRIVING. If, within the past ten years, you have been involved in a traffic accident or received a citation for a moving violation, please <br />provide the following information: <br />Ap roximate Date Police A enc Circumstances <br /> <br /> <br /> <br /> <br />OFFICIAL USE ONLY <br />Finance Department Approval: Police Approval: <br />Business License No. Date Fingerprinted: <br />^ Approved ^ Denied <br />By; <br />Fees Paid: Date: <br />General Liability Expiration Harbor Master Approval; <br />Auto Insurance Expiration By: Date: <br />Health Certificate Expiration <br />• PLEASE COMPLETE REVERSE SIDE OF THIS APPLICATION AND SIGN <br />O' \H D LB L3x~Application_Pedd ler-Solicitor. rpt <br />