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2. City of Spearfish Peddlers Permit

4. After submission, you will receive notification if your permit has been approved or not within 2 days. Until confirmation of approval, permit is not considered valid and no selling may take place.

6. Name of Business*
7. Applicant's Name (Supervisor of permit)*
9. Address of Business*
10. Date of Birth*
12. City, State, Zip Code*
13. Cell Phone*
14. Business Phone*
16. South Dakota Tax Number*
17. License Plate Number*
18. Description of Vehicle*
20. What types of payment will you be accepting?*

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

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

    Price covers all individuals selling

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


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field