Amusement License Application
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Amusement License Application — Borough of Ebensburg
This is a blank application form for an amusement license issued by the Borough of Ebensburg, Pennsylvania. It must be completed and submitted to operate or host an entertainment or amusement event within the borough.
Required Information Fields:
- Name of Business
- Contact Name
- Mailing Address (two lines provided)
- Telephone Number
- Property Owner (if different from applicant)
- Type of Entertainment or Amusement being offered
- Location Being Held
- Date(s) Of Event and Time Of Event
- Approximate Number Of Attendees
- Admission Fee Charged? (Yes/No) — if yes, specify amount
- Additional Information (four blank lines for notes)
Signature Section:
At the bottom, applicants must provide:
- Name of Applicant
- Signature of Applicant
- Date
Important Note:
The form includes a footer note on both pages:
IMPORTANT – SEE REVERSE
This suggests there is additional information, instructions, or legal requirements on the back of the form (not included in these images).
Contact Information for Borough of Ebensburg:
- Address: 300 West High Street, Ebensburg, Pennsylvania 15931
- Phone: 814-472-8780
- Fax: 814-472-8789
- Email: eburg@ebensburgpa. com
Residents or business owners planning to host public entertainment events should complete this form and submit it to the Borough office. Be sure to check the reverse side for further instructions or regulations before submission.