Handbill Permit Application

2. City Clerk's Office
   (712) 328-4616

   (712) 328-4616

4. Name of Business

6. Name of Owner/Manager

8. Mailing Address

10. City

11. State

12. Zip

14. Location of Business

    If different than mailing address

16. City

17. State

18. Zip

20. Please Note:
    Must follow guidelines as set out in Chapter 3.11 of the Council Bluffs Municipal Code. Before this application will be processed, you must also provide the clerk with a sample and pay the $25 annual fee.

    Must follow guidelines as set out in Chapter 3.11 of the Council Bluffs Municipal Code. Before this application will be processed, you must also provide the clerk with a sample and pay the $25 annual fee.

22. Document Upload

    You may upload sample here

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field