Lynn Entertainment License Application by PermitDocsPrivate


									                                  City of Lynn, Commonwealth of Massachusetts
                                                             ENTERTAINMENT APPLICATION
                                                           PETITION OF LYNN LICENSING BOARD


Please enter your business information: (Please print all information)
Name of Business

Address of Business

Telephone Number of Business
e-mail address

Applicant’s Name (Please Print)
Applicant’s Street Address
Applicant’s City, State, Zip

Applicant’s Telephone Number
**If approved, this License is not transferable.
**This License doe not include Sunday Entertainment License.

Do you have any of the following?
            Television                                         Radio                                                      CD Player
            Live Bands                                         DJ                                                         Dancing by Patrons only

APPLICANT’S SIGNATURE                                                                                                                    DATE

                                                                                  OFFICE USE ONLY
                          Personal & Property Taxes Paid
                          Workman’s Compensation Form completed
                          $100.00 Fee Paid
                          Licensing Board Approval                                                    Hearing Date:

                                                                                                                                   Paid by:     Cash                           Check
                                                                                                                                       Clerk’s Initials:

C:\Users\Robert Wilson\Documents\Magic Briefcase\Web_Work\NS2_Lynn_Municipal\cityoflynn\cityhall_documents\clerk\forms\entertainment\Application - Entertainment License.doc
                                    INSTRUCTIONS FOR
                                 ENTERTAINMENT LICENSES

A license must be obtained before operating the above businesses. The
license is valid from the date of issue through December 31st annually.

Steps to complete for License:

      1.            Application fee for each is $100.00 (new and renewed)
      2.            Worker’s Comp Insurance Form and Property Tax Form
      3.            Licensing Board Approval needed

For New Applicants OR Applicants with New Locations:

      1. Contact Inspectional Services Department (Room 401) to make sure
         location does not need a Special Permit and is an allowed use.

C:\Users\Robert Wilson\Documents\Magic Briefcase\Web_Work\NS2_Lynn_Municipal\cityoflynn\cityhall_documents\clerk\forms\entertainment\Instructions - Entertainment

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