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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