Administrative Services Department 1525 Broadway, Longview, WA 98632
CITY OF LONGVIEW
Business License Desk (360) 577-3308 FAX: (360) 577-3388
APPLICATION FOR DANCE PERMIT
Public Dance Special Events Dance Teenage Dance Applicant Name: Address Phone: Liquor Sales? Yes No
Teenage and Special Event Dances (involving persons twenty years of age or under, or the community as a whole without limitation to age) must be sponsored by a nonprofit organization such as a school, governmental agency, or fraternal organization.
Sponsor:
Contact Person: Phone:
Address: Date of dance: Location: Name of entertainment: Name of individual in charge during dance: Signature of Applicant: Phone number: Admission fee:
Time of dance: from Approximate attendance:
to
Date:
License fee is $10.00 per event, payable after City departmental approval has been obtained. The Finance Department must have ten (10) days in which to process each application. Admission taxes must be paid within 30 days of each event. FOR OFFICE USE ONLY
Building Department Approval Fire Marshall Approval SPECIFIC REQUIREMENTS OF POLICE DEPARTMENT: Date: Date:
Police Department Approval City Manager Approval License Fee: $10.00 per event Date Paid
Date: Date: Receipt No.