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Noise By-law Exemption Application Form

The undersigned "Applicant" hereby requests that the Development Services Committee of the Town of Huntsville, considers this a request for exemption from provisions contained in the Town of Huntsville Noise Control By-law.

Date(s) of day the noise is anticipated (MM/dd/yyyy)

Time duration for which an exemption is being sought

Applicant / Property Owner

Applicant Name

Address

Town or City

Postal Code

Phone

Fax

Owner's Name

Address

Town or City

Postal Code

Phone

Fax

Address of exemption being requested

Description of noise anticipated and the source(s) of the noise

Explain why existing by-law provisions cannot be complied with

Collection of Information

The personal information you choose to provide on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). The information you provide will be used to investigate the noise by-law exemption request, and may be used for contact purposes but is otherwise considered confidential. Questions about this collection can be directed to the Municipal Clerk, Town Hall, 37 Main Street East, Huntsville, ON, P1H 1A1, 705-789-1751 ext. 2255, clerk@huntsville.ca

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Signature of Complainant (optional)

Clear

By checking Yes, I am attesting that the information provided on this form is true and correct and submitting is equivalent to my authorized signature.

Yes

Forms

Noise By-law Exemption Application Form

Applicant / Property Owner

Collection of Information

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