Temporary Noise Permit Application – Construction or Community Event Class 2
Location of Request: ___________________________________________________________________
Please describe the source of sound and level of sound for which the temporary noise permit is sought:
_____________________________________________________________________________________
Length of days/months of the activity/event (duration): _______________________________________
Provide the requested start and end time of the activity/event (AM/PM):_________________________
What is the reason for this request? _______________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Applicant name
Applicant address
Applicant phone #
Applicant email
Required documentation to be submitted to the City of London Licensing office:
This form, completed with the name and address of the applicant
A sound management plan containing the following:
o Location and direction of all sound sources
o A noise complaint and sound mitigation plan. A sound mitigation plan shall determine
the process the operations manager on duty will implement in response to a noise
complaint. The process may include taking proactive actions such as providing
notification to surrounding property owners of upcoming events which will involve
amplified sound, providing a contact number to lodge a noise complaint, taking
actions if a valid noise complaint is received such as reducing the volume,
repositioning the speakers or sound source, or ending the amplified sound earlier.
o A non-refundable application fee of $75, and the permit fee of $100 which will be
refunded should the application not be approved, (the fees can be combined in one
payment - cash, debit, Mastercard/Visa, or cheque payable to City of London)
You are required to mail or drop off all required documents to: City of London Licensing Office - P.O. Box
5035, 300 Dufferin Avenue, London ON, N6A 4L9
Questions? Email licensing@london.ca
or call 519-930-3515
Upon receipt of the above noted information, you may be contacted to schedule a time for an
on-site meeting and sound reading to determine conditions of a temporary permit (if
approved).
OFFICE USE ONLY:
Date rec’d:
Payment rec’d: Yes / No
Date issued:
