- City of Owensboro

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Event Name

Event Date (e.g., 04/16/2024)

Event Time (e.g., 8:00 PM)

Estimated Attendance

Name of Chairperson/Executive Officer (If Organization)

Location

Applicant Name

Street

City

State

Zip Code

Daytime Phone Number

Evening Phone Number

Nature of Event/Activity
Will live, amplified or recorded music be played? (State in detail)

Will Alcoholic Beverages be Sold or Served?
Please explain

Applicant solemnly swears and affirms that all information given on this application is true and correct to the best of his/her knowledge and belief. Applicant further acknowledges and agrees that approval of the Variance does not prohibit police officers from responding to and acting on any complaints, including violations of approved noise variances.

I have read and understand the Variance approved by the City Manager and agree to comply with all terms, conditions and restrictions imposed herein; I understand that this Variance will automatically terminate if I or those attending the approved event fail to abide by the conditions of the aforesaid variance and may subject any and all persons in attendance to the provisions of the Noise Control Ordinance.

Noise Variance Application