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Adult Entertainment License Application

  1. City Clerk's Office
    (712) 328-4616
  2. Business Information
  3. Please attach a list of partners and/or corporation officers, state / date of incorporation.
  4. Attach a notarized statement as required by the city's Municipal Code - Section 3.15.070(c)7. Attach a copy of the lease or warranty deed.
  5. Manager Information
  6. Attach proof the owner and/or manager is at least 18 years of age.
  7. Please return payment of $250 by the renewal date of June 30th to:
    City Clerk
    209 Pearl St.
    Council Bluffs, IA 51503
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  9. This field is not part of the form submission.