Municipal License - Arcade Application

Municipal Code, Chapter 230

Application Process

  • Complete the following application accurately - printable versions are also available or in the Clerk's Office.
  • If you are unsure about how to respond to any questions on this form, check with the City Clerk for clarification.
  • $50 License Application fee is required prior to obtaining the license - online payments are accepted.

Review of your application

  • The Richland Center Police Department will perform a background check to verify the information you have provided.
  • The city may require that additional information, appropriate to the specific type of license requested, be submitted with this application or as a supplement to this application prior to consideration of license issuance.
  • City Council will review your application for approval at the next regular monthly meeting.
    • If you are asked to appear before the council but choose not to do so, your application may be denied.
Agent Information
if different than above
maiden name or aliases, etc.
Location of Machine Operations
if applicable
please list all if multiple types
Additional Person(s) who shall be in charge of the operation
Last, First & Middle Initial
Last, First & Middle Initial
The undersigned, by signing this application, hereby authorize and consent to such inquiry and/or investigation as the City of Richland Center deems necessary to determine whether this applicant and/or the application meets all requirements of the ordinances of the City for the issuance of said license. I further certify I understand that any material falsification in the application may be basis for denial of the application or the revocation of any license issued by the city pursuant to this application.