2. City of Creston, Iowa
   116 W Adams
   P.O. Box 449
   Creston, IA 50801-0449
   Phone 641-782-2000
   Fax 641-782-6377
3. 
5. Application for license for peddlers, solicitors and transient merchants (per Creston City Code, Chapter 122).
   - $10 Non-refundable Application Fee
   - $50 One-Day Permit Fee
   - $150 One-Week
   - $500 Six-Month
   - $1,000 One-Year Permit Fee
7. First Name
8. Last Name
10. Permanent Address
12. City
13. State
14. Zip
16. Local Address
18. City
19. State
20. Zip
22. Photo Driver’s License / Identification Must Accompany Application
    Please e-mail to the Creston Police Chief at pvermeer@uclec.com
24. Date of Birth
    Date of Birth
25. Height
26. Weight
27. Eye Color
29. Hair Color
31. Name of Employer
32. Business Phone Number
34. Employer Address
36. City
37. State
38. Zip
40. Description of motor vehicle used in this enterprise
42. Nature of Applicant’s Business / description of merchandise if applicable
44. Contact Person (if applicable)
45. Alternate Phone
47. Last 3 places in which applicant has been engaged in similar activity
49. Permit Beginning Date - Permit Ending Date
    Permit Beginning Date - Permit Ending Date Start Date

    —

    Permit Beginning Date - Permit Ending Date End Date
51. Have you ever been convicted of a felony, arrested for theft, fraud, or a crime involving moral turpitude?

    1. Yes
    2. No
53. If yes, give full details
55. Applicant must obtain a Criminal History Background Check (PDF) from the Iowa Division of Criminal Investigation. This background check must have been updated within one year from the date of this permit request.
    Iowa Division of Criminal Investigation
    Support Operations Bureau, 1st Floor
    215 E 7th Street
    Des Moines, IA 50319
    Phone: 515-725-6066
    
57. State of Iowa Sales Tax Permit

    1. Yes
    2. No
58. Permit Number
60. State of Iowa Mobile Food License (if applicable) per Section 137F.4 Iowa Code
62. Prior to Issuance of License
    Return application with appropriate fee and, if a Transient Merchant, evidence that a bond has been filed with the Secretary of State in accordance with Chapter 9C of the Code of Iowa.
64. E-Signature*
65. Date
    Date
67. License for 365 days maximum. Soliciting from Sunrise to Sunset only.
Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit

* indicates a required field