Harmony & Weitzel / Harmony & I-25 Interchange Looking west from the Poudre River Search More results... Generic filters Hidden label Exact matches only Hidden label Search in title Hidden label Search in content Hidden label Search in excerpt Business & Sales Tax License Development Proposals Under Review or Construction Agendas & Minutes Business MenuBusiness License Sales Tax License Sales Tax Guide Contractor License Application Demographic Info GAP Analysis Timnath Business Directory Economic Market Report Request For Proposal Door to Door Solicitation Business MenuBusiness License Sales Tax License Sales Tax Guide Contractor License Application Demographic Info GAP Analysis Timnath Business Directory Economic Market Report Request For Proposal Door to Door Solicitation Home /Application for Solicitor Permit... INFORMATION ON THIS APPLICATION IS PUBLIC RECORD ATTENTION: Before completing this application, you will need the documents listed below saved to your computer and available to upload with this application. TOTAL FEES DUE WITH THIS APPLICATION = $135.00 > Background Check Fee = $75.00 > Badge fee = $10.00 > Badge Deposit = $50.00 Any information you enter on this application will not be saved if you begin and return later. * indicates required field Attach a copy of valid driver's license or state issued photo identification*Attach a current passport sized photo*INFORMATION ABOUT BADGE HOLDERName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email Address* Driver's License or State Issued ID #*Issuing State*Expiration Date* MM DD YYYY Physical DescriptionHeight*Weight*Eye Color*Hair Color*Vehicle License Plate Number*Enter 'N/A' if you don't have a vehicleVehicle Make, Model and Color*Enter N/A if you don't have a vehicleHAVE YOU BEEN RELEASED WITHIN THE TEN (10) YEARS IMMEDIATELY PROCEEDING THIS APPLICATION FROM ANY FORM OF INCARCERATION OR COURT-ORDERED SUPERVISION, INCLUDING A DEFERRED SENTENCE, RESULTING FROM A CONVICTION OF A FELONY OR CLASS 1 MISDEMEANOR UNDER THE LAWS OF THE STATE OF COLORADO OR AN EQUIVALENT OFFENSE UNDER ANY FEDERAL, STATE, COUNTY OR MUNICIPAL LAW?*YesNoProvide DetailsHAVE YOU BEEN CONVICTED OF BEING A SEXUALLY VIOLENT PREDATOR PURSUANT TO § 18-3-414.5, C.R.S.?*YesNoProvide DetailsARE YOU A REGISTERED SEX OFFENDER UNDER THE COLORADO SEX OFFENDER REGISTRATION ACT?*YesNoProvide DetailsHAVE YOU BEEN CONVICTED OF A FELONY OFFENSE THAT WOULD REQUIRE REGISTRATION UNDER THE COLORADO SEX OFFENDER REGISTRATION ACT UNDER THE LAWS OF THE STATE OF COLORADO OR AN EQUIVALENT OFFENSE UNDER ANY FEDERAL, STATE, COUNTY OR MUNICIPAL LAW?*YesNoProvide DetailsINFORMATION ABOUT THE EMPLOYERName of Employer*Employer's Phone Number*Employer's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor's Name* First Last Supervisor's Phone Number* I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I FURTHER UNDERSTAND THAT ANY FALSE STATEMENT OR OMISSION OF INFORMATION WILL BE CAUSE FOR LICENSE SUSPENSION, REVOCATION, OR GROUNDS FOR THE TOWN TO REFUSE TO ISSUE THE LICENSE.Signed* First Last Date* Date Format: MM slash DD slash YYYY CAPTCHADate Issued:______________________________________Expiration Date:______________________________________ Economic Market Report Building Department Finance Timnath Businesses Door 2 Door Soliciation