Solicitors/Peddlers - Grant, Michigan



280 S. Maple St. P.O. Box 435 Grant, MI 49327Application for Precious Metal and Gem DealerCity Ordinance #55, Article I, Article II Section 3, and Article IIIFees determined by current Fee Rate ScheduleApplicant (Business Owner) Information:Applicant Name ________________________________ __________________________ _____________ Last First MiddleHome Address_________________________________ City __________________ State ___ Zip ________Telephone (______) _______?__________ Cell Phone (______) _______?__________Business Information:Name of Business _________________________________________________________________________Business Address _______________________________ City __________________ State ___ Zip ________?Individual ?Partnership?Corporation ?Firm ?AssociationHave You:Been convicted of any crime, misdemeanor, or local ordinance violation? ?Yes ?NoDescribe violation and penalty assessed :________________________________________________________________________________________________________________________________________________Held a permit in Michigan that was revoked, suspended or denied within the last three (3) years? ?Yes ?No Explain:____________________________________________________________Applicant must furnish the following information:? Nonrefundable License/Registration Fee - $50 ? Copy of driver’s license and thumbprint (below – right corner)? I.C.H.A.T. of Michigan Criminal History report – go to and do a search for ICHAT. Go into MSP – Michigan State Police-On-Line Services. Go to the ICHAT Criminal History tool and click on that. Run your criminal history by following the “ICHAT” link instructions. Submit report with this application.? An employee registration form (on form provided) for all employees, complete with their current address, a copy of their driver’s license, and thumbprint. An employee registration form must be provided for all new employees within 24 hours after hiring.By filing this application, I acknowledge I have read and understand all applicable State and Federal Laws, and I authorize the City of Grant to conduct a background investigation of myself and authorize all persons and/or agencies to release to you any and all pertinent information they may have, personal or otherwise, and I hereby release all parties from all liability for any damage that may result from furnishing same to you. In addition, by signing this application I affirm that the information provided is accurate and true and if a license is granted, I will abide by all applicable ordinances, statutes, regulations and laws._______________________________________ ____/____/______ Applicant SignatureDate ________________________________________________ City Official / Title__________________ ____/____/______Police Investigation: Officers Initials Date ................
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