CITY OF VERONA
AMPLIFICATION DEVICE PERMIT APPLICATION
Please attach a sketch of the outdoor area indicating where music or other amplification will be
located/played.
Please answer the following questions.
Name of Host/Business/Event:
_____________________________________________________________________________________
Address of where the event will take place:
_____________________________________________________________________________________
Email Address: Phone Number:
_______________________________________________ _______________________________
Hours during which amplification will be used:
From _____ : _____ a.m./p.m. to _____ : _____ a.m./p.m.
Requested duration or date of the permit (e.g. May-Oct)
_____________________________________________________________________________________
What type of music will be playing?
Live Band
Recorded Music
Acoustic
Other:_________________________________________________________________________
Type of amplification:
____________________________________________________________________________________
_____________________________________________________________________________________
Applicant Signature
_________________________________________________________ ___________________
Signature Date
Approval:
__________________________________________________ __________________
Police Chief Signature Date
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signature
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