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2. Conditions & Restrictions
   Outdoor Sound Waiver Conditions and Restrictions
4. Event Information

   This permit is intended for outdoor residential use only. This does not apply towards Special Events.

6. Address of Event*
8. City
9. State
10. Zip Code*
    -- Select One --6006760074
12. Owner of Property*
14. Nature of Event*
16. Describe source of sound amplification:*
    (example: DJ, Band, Public Address System)
18. Does the event take place within a 2 block radius of a place of worship?

    1. Yes
    2. No
19. Have all neighbors been notified?*

    1. Yes
    2. No

    (All neighbors must be notified in advance)
21. If yes, please indicate the place(s) of worship:
23. Date of Event*
    Date of Event
24. Start & End Time
    Start & End Time Start Time

    —

    Start & End Time End Time

    The Village will NOT approve an event if beyond 10pm

26. Applicant Information

    I have fully read and agree to the provisions above and understand and agree to the assumption of risk, waiver, and release of all claims provisions of the outdoor sound permit policy.

28. First Name*
29. Last Name*
31. Contact Address*
33. City
34. State
35. Zip Code*
37. Contact Phone*
38. Email*
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field