Form Center

Application & Noise Ordinance Exemption Permit

2. 

4. Applicant:

6. Name

8. Address

9. Phone Number

11. Property Owner/Person Responsible for Event

13. Name

15. Address

17. City

18. State

19. Zip Code

21. Phone Number

23. Location of Event

25. Address*

27. Description of Event*

29. Date(s) of Event
    Date(s) of Event Start Date

    Date(s) of Event Start Time

    —

    Date(s) of Event End Date

    Date(s) of Event End Time

31. Fee:

    1. $25 Single Event
    2. $100 Multiple Events in a Single Season

33. As the owner, owner's agent, or designated responsible party for the above described event(s), the undersigned applicate hereby agrees to fully comply with all of the requirements of Section 509.09 of the Codified Ordinances of the City of Zanesville , and with all laws of the State of Ohio and the Codified Ordinances of the City of Zanesville in controlling said event(s)

    As the owner, owner's agent, or designated responsible party for the above described event(s), the undersigned applicate hereby agrees to fully comply with all of the requirements of Section 509.09 of the Codified Ordinances of the City of Zanesville , and with all laws of the State of Ohio and the Codified Ordinances of the City of Zanesville in controlling said event(s)

35. Signature:*

37. Title:

38. Date:*
    Date:

42. Internal Use:

    1. Approved:
    2. Disapproved:
    3. Revoked:

45. Signature - Public Safety Director

46. Date
    Date

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field