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Entertainment Permit Application
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This form has been modified since it was saved. Please review all fields before submitting.
Name of Establishment
*
Street Address
*
City
*
Licensee Name
*
Licensee Phone Number
*
Licensee Email
*
Brief Description of Entertainment Type Requested
*
Day(s) Entertainment Will be Presented
*
Day(s) Entertainment Will be Presented Start Date
—
Day(s) Entertainment Will be Presented End Date
Time(s) Entertainment Will be Presented
*
Time(s) Entertainment Will be Presented Start Time
—
Time(s) Entertainment Will be Presented End Time
Electronic Signature Agreement.
*
By selecting the "I Accept" button, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
I Accept
Print Name
*
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