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City Clerk Jennifer A. Zelmanski
Please include Child Support and/or Alimony
Rent/Mortgage, Car Payment, Utilities, Groceries, Installment Payments, etc.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I further attest that all of the statements made herein are true and correct and that I am considered to be indigent.
If you choose to print this application, please mail or hand deliver it to the City Clerk's Office- City of Roseville- 29777 Gratiot Avenue, Roseville, MI 48066.
License will be issued by the City Clerk if approved.
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