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2. City Clerk's Office
   (712) 328-4616
4. Annual Renewal Fee: $100
   Submit a check or money order to: City Clerk 209 Pearl St. Council Bluffs, IA 51503
6. Applicant
8. Address
10. Place of birth
11. Date of birth
15. Please list prior convictions except for traffic violations
17. I hereby certify that I am of good moral character and a citizen of the United States.
19. Applicant signature
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit Submit and Print

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