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2. Applicant Name*

   (First and Last)

3. Business Name
5. Phone Number*
6. Email Address*
8. Street Address*
10. City*
11. State*
12. Zip Code*
16. Address of Event Location*
18. City*
19. State*
20. Zip Code*
22. Property Owner *
24. How many outdoor total amplified sound event permits are you seeking approval for per calendar year? *
26. Describe why this location should be able to hold more than eight outdoor amplified sound events per year as allowed under Sec. 16-103.*
28. Describe the hardship facing you or your business if additional outdoor amplified sound events are not granted.*
30. Describe any mitigation strategies you have taken or will take in order to reduce the impact of noise generated from your event location on neighbors.*
32. I have read and understand Ordinance 1713 concerning regulation of noise in Wheat Ridge*

    1. Yes
    2. No
34. I understand that failure to comply with Ordinance 1697 may result in revocation of the permit and/or issuance of a citation to appear in Municipal Court*

    1. Yes
    2. No
36. I understand that once my application has been reviewed, I will coordinate with City staff to hold a neighborhood meeting on my application.*

    1. Yes
    2. No
38. I understand that the City may cancel, revoke, suspend or summarily suspend the business license of any business which permits noise in violation of Sec. 16-103, pursuant to the procedures in code sections 11-30 through 11-32.*

    1. Yes
    2. No
40. I certify under penalty of perjury under the laws of the State of Colorado that the foregoing is true and correct.*

    1. Yes
    2. No
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42. 1. Receive an email copy of this form.
43. Email address

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44. Submit

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