Loudspeaker Permit Application

The following application is submitted to the City of Edina as a request to permit the use of loudspeaker(s) on the outside of a structure in accordance with Edina City Code 1040 and any amendments thereto.

The fee is $21.00.

Mailing Information: Tell us where to mail your permit. The red asterisk (*) indicates a required field.

Name:

Street Address:

City:

State:

Zip:

Phone Number:

Organization (if any):

Location of Requested Use:

Description of Event:

Date(s) Permit Requested

From: (mm/dd/yyyy)
* To: (mm/dd/yyyy)

Time(s) Permit Requested

From: (hh:mm)
* To: (hh:mm)

Maximum Volume:

(in decibels)

	Note: The maximum allowed by Code shall be per MN Rules 7030.0040 Noise Standards.
	Applicant agrees to the following: 1. That this loudspeaker permit is solely for use at the time requested above. 2. That the use of a loudspeaker without a permit is a violation of Edina City Code 1040 as amended. 3. The applicant will be responsible for supervising and controlling any persons operating amplifiers or loudspeaker equipment.

I understand that some of the information provided on this form will be public data. Public data is available to anyone who makes a request for such information. My credit card number is not considered public data.