Payment Center / Entertainment License Application / Davenport, Iowa

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Entertainment License Application

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Please complete the application to apply for an entertainment license with the City of Davenport

* Denotes a required field

Business Name*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Business Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Owner Name*

Address 1*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Owner Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

If applicant is a partnership, business association, or corporation provide; the full name, title and address of each partner, associate, officer, director, and registered agent.

Intended starting date for live entertainment at this location*

MonthDay Year,

Type of live entertainment provided at this location*

Other types of entertainment at this location:

Type of liquor license, wine or beer permit location is licensed for*

Applicants owns or leases the location?*

Own

Lease

Permit Fee*

$50.00

Email	*
Tracking #	*