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Application - Charitable Solicitation PermitCharitable Solicitation Permit Application - Revised - 2019-06-20  City of La Vergne, Tennessee 5093 Murfreesboro Road, La Vergne, TN 37086 (615) 793-6295 CHARITABLE SOLICITATION PERMIT APPLICATION Please refer to Title 9, Chapter 2 of the La Vergne Municipal Code for all of the rules and regulations regarding charitable solicitation permits. A copy of a driver’s license or state issued identification is also required. This application shall not apply to Solicitation Roadblocks. APPLICANT INFORMATION Applicant Name and Home Address: Organization Name, Address & Phone Number: Local Address: Cell Phone: Other Phone: Height: Weight: Date of Birth: SSN: Hair:Eyes: Driver’s License Vehicle Information State: DL #: Year, Make & Model:Plate #: Purpose of Solicitation: Length of time desired to do solicitation: Have you ever been convicted of any crime or misdemeanor? If yes, what was the nature of the offense and when did it occur? By submitting this application for a Charitable Solicitation Permit, I agree to fully comply with the provisions of the ordinances of the City of La Vergne. I also certify that I have received and read Title 9, Chapter 2 of the La Vergne Municipal Code and I agree to abide by these regulations. ___________________________________________ Date: ____________________ Applicant Signature 9-6 CHAPTER 2 CHARITABLE SOLICITORS SECTION 9-201. Permit required. 9-202. Prerequisites for a permit. 9-203. Application for permit. 9-204. Denial of a permit. 9-205. Exhibition of permit. 9-206. Trespassing. 9-207. Violations. 9-208. Solicitation roadblocks. 9-201. Permit required. No person shall solicit contributions or anything else of value for any real or alleged charitable or religious purpose without a permit from the city recorder authorizing such solicitation. Provided, however, that this section shall not apply to any locally established organization or church operated exclusively for charitable or religious purposes if the solicitations are conducted exclusively among the members thereof, voluntarily and without remuneration for making such solicitations, or if the solicitations are in the form of collections or contributions at the regular assemblies of any such established organization or church. (1994 Code, § 9-301) 9-202. Prerequisites for a permit. The recorder shall, upon application, issue a permit authorizing charitable or religious solicitations when, after a reasonable investigation, he finds the following facts to exist: (1) The applicant has a good character and reputation for honesty and integrity, or if the applicant is not an individual person, that every member, managing officer, or agent of the applicant has a good character or reputation for honesty and integrity. (2) The control and supervision of the solicitation will be under responsible and reliable persons. (3) The applicant has not engaged in any fraudulent transaction or enterprise. (4) The solicitation will not be a fraud on the public but will be for a bona fide charitable or religious purpose. (5) The solicitation is prompted solely by a desire to finance the charitable cause described by the applicant. (6) The benefits of the solicitation will be used solely for and by the citizens of La Vergne. (1994 Code, § 9-302) 9-7 9-203. Application for permit. Applicants for a permit under this chapter must file with the city recorder a sworn written application containing the following: (1) Name and physical description of applicant. (2) Complete permanent home address and local address of the applicant. (3) A brief description of the nature and purpose of the solicitation. (4) The length of time for which the right to do the solicitation is desired. (5) A copy of a valid driver's license or state issued identification. (6) A statement as to whether or not the applicant has been convicted of any crime or misdemeanor or for violating any municipal ordinance and, if so, the nature of the offense and the punishment or penalty assessed therefor. 9-204. Denial of a permit. Any applicant for a permit to make charitable or religious solicitations may appeal to the board of mayor and aldermen if he has not been granted a permit within fifteen (15) days after he makes application therefor. (1994 Code, § 9-303) 9-205. Exhibition of permit. Permittees are required to exhibit their permits at the request of any policeman, codes official or citizen. (1994 Code, § 9-304, modified) 9-206. Trespassing. It shall be unlawful and deemed to be trespass for any permittee acting under this chapter to fail to leave promptly the private premises of any person who requests or directs him to leave. (1994 Code, § 9-305) 9-207. Violations. Any person violating any provisions of this chapter or making a false or fraudulent statement either in his application for a permit or in the process of making a solicitation shall be subject to the penalty provided in the general penalty clause for this municipal code. In addition to or in lieu of any pecuniary penalty, if a violator has been issued a permit, his permit shall be cancelled and revoked by the court. (1994 Code, § 9-306) 9-208. Solicitation roadblocks. (1) Application to and approval from the board of mayor and aldermen shall be required before the use of a solicitation roadblock is permitted during any solicitation. (2) The following terms shall apply in the interpretation and application of this section: (a) "Solicitation roadblock" shall mean the solicitation by any person of money on or in the right of way of any street, road, highway, or any other public way and place generally open to, and used by, the public for travel in or upon motor vehicles. 9-8 (b) "Street," "road," "highway," and "public way and place" shall include the paved or unpaved surface of any such street, road, highway or public place, the entire width of the public right of way extending laterally therefrom, dividers, medians, and abutting or adjoining sidewalks or other pedestrian pathways generally open to the public for pedestrian traffic. (3) A roadblock shall not be permitted to be set up for more than a five (5) hour interval and any organization shall not be allowed to hold more than one permit at any given time. At the time of the application, the applicant may choose an alternate date for the roadblock in case of inclement weather. The maximum number of permits that may be issued per calendar year to each organization is two (2). These permits will be issued on a first come-first served basis. If the roadblock is cancelled due to inclement weather, it shall not be counted toward the maximum number of permits allowed during a calendar year. (4) The roadblock permit shall be issued by the city recorder after approval is given by the board of mayor and aldermen. All roadblock workers must carry a copy of this permit and must exhibit their permit at the request of any policeman or citizen. (5) All roadblock workers must be at least eighteen (18) years of age and must wear highly visible clothing which must include an orange safety vest. (6) All organizations conducting a roadblock must place a proper form of notification at each roadblock location to warn motorist of "Roadblock Ahead," and provide a flyer to each contributor. (7) All organizations conducting a roadblock must remove all signs upon the completion of the roadblock. (1994 Code, § 9-307, modified)