# Amusement License Application

- Summary: Amusement License Application — Borough of Hollidaysburg, PA This is a two-page form for applying for or renewing an Amusement License in the Borough of Hollidaysburg, Pennsylvania. The application…
- Source: HollidaysburgPA.org
- Published: 
- Captured: 2026-08-10T16:49:35.826Z
- Source URL: https://hollidaysburgpa.org/wp-content/uploads/2025/12/Amusement-License-Application.pdf
- Content URL: https://hollidaysburg.ebensburg.site/document/amusement-license-application/
- Content note: This portable copy is not the official record and may include an automated convenience summary. Verify important details in the original document.

Amusement License Application — Borough of Hollidaysburg, PA This is a two-page form for applying for or renewing an Amusement License in the Borough of Hollidaysburg, Pennsylvania. The application must be submitted to: 401 Blair Street, Hollidaysburg, Pennsylvania 16648 Phone: (814) 695-7543 Page 1: Application Form Type of Application Check one: ☐ New or ☐ Renewal Applicant Information Name, Phone Number, Address, Email Business Name and Phone Number (if applicable) Business Address Business Contact Information Separate contact person’s Name, Phone, Email, and Address (if different from applicant) Mechanical Devices & Fees Applicants must list each type of device they operate, along with quantity. Fees are per device: Jukebox/Touch Tunes: $75. 00 Pool Table: $50. 00 Video, Skill or Mechanical Amusement Device : No fee listed (blank line) Non-Paying Device: $100. 00 Gambling and Skill Devices: $150. 00 Certification Statement Applicant certifies that all information is true and agrees to comply with all local ordinances, laws, and regulations governing amusement licenses in Hollidaysburg. Signature line for Applicant Date line Page 2: Approval Section This page is completed by the Borough after review. Approval Details License granted for one (1) year Number of each device approved: Jukebox(s): ___ Pool Table(s): ___ Video, Skill or Mechanical Amusement Device(s): ___ Non-Paying Device(s): ___ Gambling and Skill Device(s): ___ Subject to Chapter 13, Part 2, Sections 201, 202, or 203 of local ordinances Fee Payment Total fee to be paid: $__________ Authorization Signed by Mayor Joseph R. Dodson Date of approval: __________ Key Notes for Applicants Fill out all required fields on Page 1 before submission. Specify quantities for each device type — fees apply per unit. If no fee is listed for a category (e. g. , “Video, Skill or Mechanical Amusement Device”), it may be free — but confirm with the Borough. Approval is valid for one year and subject to specific borough ordinances. Final approval and fee amount are determined by the Borough and signed by the Mayor. For questions or submissions, contact the Borough at the address or phone number above.