2. Applicant's Full Name*
3. Email Address*
5. Phone Number*
6. Address
8. Reason for Noise Variance Request*
10. Date of Event*
11. Hours of Event*

    List start to end times

13. Address of Event*

    List exact location where event will be taking place.

15. Business Representing (include name, address, phone)

17. For "General Commercial Advertising" purposes, as long as the operation complies with all the Chapter's Regulations:  Using a loud speaker on a vehicle:

19. Vehicle Tag #
20. Year/Make
21. Color
22. Model
24. Specific Usage of Sound System:*

26. In general, sound systems shall NOT be operated:

    - if causing a disturbing influence of any hospital, school, chruch, or within 100 ft from a polling booth.

    
    

    - before 8 AM or after 8 PM Monday - Saturday, without written approval.

28. I, the undersigned, agree to not cause an "unreasonable hardship on a neighborhood" and will comply with all conditions, as agreed.  Additionally, I am aware of the City Ordinance associated with this application.

30. NOTE:  The Director of Public Safety shall have the right to revoke this permit for any violations of conditions granted in this permit.

32. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field