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2. Date of Application
   Date of Application
3. *A fee of $10.00 is due upon issuance of the permit.
5. Applicant Name
6. Applicant Email Address
8. Applicant Address
10. Applicant Phone Number
11. Driver's License
13. IF THE APPLICANT IS USING THE AMPLIFICATION EQUIPMENT FOR ANY COMMERCIAL, CHARITABLE OR POLITICAL ORGANIZATION
15. Name of Organization
16. Organization Telephone #
18. Organization Address
20. Contact Person
21. Contact Person Telephone #
23. IF THE APPLICANT IS USING THE AMPLIFICATION EQUIPMENT FOR ANY COMMERCIAL, CHARITABLE OR POLITICAL ORGANIZATION
25. Event Start Date and Time
    Event Start Date and Time

    Event Start Date and Time
26. Event End Date and Time
    Event End Date and Time

    Event End Date and Time
28. Address
30. I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief that I have read, understand, and agree to abide by the rules and regulations governing the proposed Sound Amplification Permit under the City of Lago Vista Municipal Ordinance Code and I understand that this application is made subject to the rules and regulations. Applicant agrees to comply with all other requirements of the City, County, State, Federal Government, and any other applicable entity which may pertain to the use of the Event venue, and the conduct of the Event is hereby declared to be inoperative and severable from other regulations herein. I agree to abide by these rules and further certify that I, on behalf of the Host Organization, am also authorized to commit to that organization, and therefore agree to be financially responsible for any costs and fees that may be incurred by or on behalf of the Event to the City of Lago Vista.
32. TYPE AND DESCRIPTION OF AMPLIFICATION EQUIPMENT TO BE USED
34. Print Name of Applicant
35. Signature of Applicant
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field