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2. 1. Applicant Information
4. Name of the Activity/Event*
6. Location of the Activity/Event*
8. Dates and times of Activity/Event (attach schedule if multiple dates apply)*
   Dates and times of Activity/Event (attach schedule if multiple dates apply) Start Date

   Dates and times of Activity/Event (attach schedule if multiple dates apply) Start Time

   —

   Dates and times of Activity/Event (attach schedule if multiple dates apply) End Date

   Dates and times of Activity/Event (attach schedule if multiple dates apply) End Time
10. Describe the Activity/Event*
12. Sponsoring Organization*
13. Contact Person*
15. Phone*
16. Cell*
17. Email Address*
19. 2. Conditions of Approval

    This permit is subject to the conditions of approval as stated above and the conditions as set forth in the City Ordinance, Section 19-6 Noises: 

    Permit must be approved by the Chief of Police and the City Manager. 

    Permit will be issued only for matters of charitable, community, educational, or religious purposes being held outside of buildings. 

    Permit will not be issued for more than two (2) hours in any one-half day or permitted after 9:00 p.m. unless approved by the Chief of Police.

    Vehicles with sound systems may not operate within 300 feet of a hospital or 300 feet of a school during school hours.

    Sound equipment must be regulated so that it may be heard on the street, but will not create a nuisance.

    Applicant must submit the Application a minimum of 14 days prior to the date of the event.

21. NOTICE:

    Area below line to be completed by City Of Holland Officials. Please leave blank when completing form.

25. City Approval

    Approved

27. Signed by Chief of Police or Designee
28. Date
30. Signed by City Manager or Designee
31. Date
33. City Denial

    Denied

35. Signed
36. Date
38. Reason(s) for denial:
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