Township of Scugog

Required fields are marked with asterisks (*)

Application for a Noise Exception

Township of Scugog Noise By-Law

Section to be exempted from:

Event Date:

Start Time:

End Time:

Applicant

Name of Applicant:

Street Address:

City:

Postal Code:

Phone Number (Home):

Phone Number (Alternate):

Email Address:

Property Owner (if different)

Name of Owner:

Street Address:

City:

Postal Code:

Phone Number (Home):

Phone Number (Alternate):

Description of Sound

Source of Sound (equipment, band, fireworks, etc.):

Reasons Exemption Should Be Granted:

Signature:

Clear

Date:

How would you like to pay for this application?

In Person (Debit/Cash/Cheque)

Online (Debit/Credit Card)

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