City of Bedford, Indiana



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Application for Noise Permit
City of Bedford, Indiana

The Chief of Police for the City of Bedford, or his designated agent, may grant a temporary permit authorizing an activity within the City that would otherwise violate this ordinance. A person requesting a permit must submit an application on a form proscribed by the City of Bedford and pay a permit fee of twenty-five dollars ($25.00) to the City of Bedford at least fourteen (14) days in advance of the permit taking effect. The Chief of Police, or his designated agent, shall have full discretion to either grant or deny the application. If granted, the Chief of Police, or his designated agent, shall issue a permit and include on the permit a reasonable expiration date and restrictions for the activity.


Noise Permit - Applicant Information
Requestor Contact Information:
Last Name First Name
Middle Name 		 
Email Address Phone Number Date of Birth  
Street Address City State Zip
Permit Requested For:
Name of Event
Street Address City State Zip
Group Sponsoring Event Number of Attendees
Permit Time Requested:
v
From Date
From Time
v
To Date
To Time
Property Owner Information:
Last Name First Name
Middle Name 		 
Phone Number
Street Address City State Zip
Has the Property Owner been contacted about this event?
Have the neighbors of the properties adjoining the event site been contacted about this event?
Addresses Notified: Event/Activities Scheduled:
Devices used to amplify sound: Number of devices used to amplify sound:
Nature of Sound
Applicant Comments/Notes






Authorization
Authorization
I certify that information contained in this application is true and accurate to the best of my knowledge. I understand that any false information given by me to obtain a permit can result in denial of the permit and criminal action against me for providing false information.

After your application is reviewed you will be contacted for the next step in the process. If Approved, you will be required to come to the Bedford Police Department, 1617 K street Bedford, IN. 47421 to sign for your permit. Acceptable means of payment will be cash and Money Order.

** IF YOU DO NOT RECEIVE A MESSAGE THAT YOUR APPLICATION WAS SUCCESSFULLY SUBMITTED, PLEASE REVIEW THE FORM TO MAKE SURE YOU COMPLETED ALL REQUIRED FIELDS**

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Bedford Police Department
1617 K Street
Bedford, IN 47421
Emergencies Dial 911 | Non Emergencies - 812-275-3311
tmoore@bedford.in.us