Required fields are marked with asterisks (*)

Application for a Noise By-law Exemption

Please note you must be the registered property owner or have obtained written permission from the property owner to apply for a noise by-law exemption.

Name

Street Address

Municipality

Province

Postal Code

Phone Number

e-mail address

Type of Event

Date of Event

Start Time

End Time

Description of Event

Are you the property owner?

Yes

No (if no a letter from the property owner providing permission is required)

Property Owner Permission Letter

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Date Submitted (insert today's date)

Signature

Clear

By submitting this form, you agree the personal information provided to the Township of Centre Wellington under the authority of the Municipal Act for the purpose of applying for a noise by-law exemption shall be considered public information and may form part of a public agenda. Questions regarding the collection, use and disclosure may be directed to the Deputy Clerk, 519-846-9691 x242 or lmiller@centrewellington.ca