CITY OF
PUBLIC ENTERTAINMENT
LICENSE APPLICATION
(Title II, Chapter
6, Section 13)
Theater:
Fee: $125. Each building + $25. Each screen
NAME OF BUSINESS __________________________________________________
BUSINESS ADDRESS __________________________________________________
NAME OF APPLICANT __________________________________________________
APPLICANT'S ADDRESS ________________________________________________
APPLICANT'S DRIVER LIC.# _____________________________________________
APPLICANT'S BIRTHDATE ______________________________________________
_____________________________________ DATE __________________________
Signature of Applicant
PLEASE DO NOT WRITE BELOW LINE
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_________________________________ _____approved
Police
Chief _____denied
Date:
_____________________________
__________________________________ _____approved
City
Treasurer _____denied
Date:
_____________________________
__________________________________ _____approved
Fire
Chief _____denied
Date:
_____________________________