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Inspection Report for Beer / Liquor Application

  1. Application Type

  2. This form must be completed before the application will be submitted to the Black Hawk County Board of Supervisors.

  3. We, the undersigned have inspected the above mentioned premise(s) and found that this establishment meets the minimum standards as set forth by all applicable laws and ordinances.

  4. Compliance

  5. Sheriff

    We have researched the applicable record of the above mentioned establishment and find no felony convictions.

  6. Leave This Blank:

  7. This field is not part of the form submission.