Amusement License Application
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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.