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Peddlers Permit

2. City of Spearfish Peddlers Permit
4. Name of Business*
5. Applicant's Name (Supervisor of permit)*
7. Address of Business*
8. Date of Birth*
10. City, State, Zip Code*
11. Cell Phone*
12. Business Phone*
14. South Dakota Tax Number*
15. License Plate Number*
16. Description of Vehicle*
18. What types of payment will you be accepting?*

    1. Cash
    2. Check
    3. Credit Card
19. Will payments be immediate?*

    1. Yes
    2. No
21. What product will you be selling?*
22. What days will you be selling?*
23. How long will you be selling?*
25. Permit Fee*

    Price covers all individuals selling

    1. $25.00/Day
    2. $75.00/Week
    3. $200.00/Month
26. Pay Permit Fee Here
    https://www.e-billexpress.com/ebpp/Spearfish
28. List all individuals that will be selling:
30. Name
31. Date of Birth
32. License Plate (if applicable)
34. Full Address
36. Name
37. Date of Birth
38. License Plate (if applicable)
40. Full Address
42. Name
43. Date of Birth
44. License Plate (if applicable)
46. Full Address
48. Name
49. Date of Birth
50. License Plate (if applicable)
52. Full Address
54. Name
55. Date of Birth
56. License Plate (if applicable)
58. Full Address
60. Name
61. Date of Birth
62. License Plate (if applicable)
64. Full Address
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field