City of Westminster

PPCATIONOR UDSPEAKER CONSENT

AAAAPPLICATIONOR LOUDSPEAKER CONSENT

APPLICATION FOR LOUDSPEAKER CONSENT
This form should be completed and forwarded to the: Director of Community Protection, Licensing Service, City of Westminster, 4th Floor, City Hall, 64 Victoria Street, London, SW1E 6QP. Telephone No.020 76417828 / Fee Paid
Date Received
Initials
Cheque/Receipt No.

Fee payable:This will depend on the number of dates required and whether loudspeakers are to be used at commemorative or charitable events. See attached schedule of fees.

NOTE: PLEASE SEND THIS FORM AT LEAST 21 DAYS BEFORE THE START OF THE EVENT

A cheque or postal order should be made payable to City of Westminster.

Please read the notes andfact sheet carefully before completing this form

I/We apply for consent to use loudspeaker(s) in accordance with Paragraph 1 of Schedule 2 to the Noise and Statutory Nuisance Act 1993

1 Full name and address of applicant(s).
Note: In the case of a limited company please complete the separate form entitled ‘Particulars of a Limited Company’. / Name:
Address
Telephone No.
(during normal office hours)
2 Location(s) for which the consent is sought:
(a) outside the ‘designated area’
(b) within the ‘designated area’ (approximately 1 km around Parliament Square – see page 1 of the Fact Sheet). / Location(s):
(a)
(b)
3 Give details of each date(s) for which this consent is being sought:
Note: This must include any dates on which the equipment will be tested in the locations sought
Date Hours from to (24-Hour Clock)
1
2
3
4 Details of the nature of activities at this event or events (named in Q3 above). / Activities:
(1)
(2)
(3)
5. State the purpose for the loudspeaker(s) (e.g. incidental music, announcements, demonstration)
6. Describe in full the nature of the equipment to be used (e.g. megaphone, fixed public address system).
7. State the number of loudspeakers proposed and their positions in the street.
Note: A plan showing the exact position(s) of the loudspeaker(s) must be attached.
8 Output power of loudspeakers that will be used (e.g. number of watts per channel).
9Proposed means of controlling noise levels (e.g. by manual means or electronic limiter).
Note: The Council may need to be involved in establishing limits settings before the event.
10 Name, address and telephone number of responsible person for correspondence.
11. Name and (mobile) telephone number of the person responsible for the event on the day and testing of the equipment before the event, if different from 10 above.

Separate sheets may be attached if necessary

Where application is made on behalf of a limited company, the secretary or director should sign. In the case of a partnership each partner should sign. If signing on behalf of the applicant please state in what capacity you are acting.

…………………………………………………………

…………………………………………………………

Signature(s) of applicant (s),

or solicitor’s signature if acting for the applicant (s) Date:…………………………………..

IMPORTANT NOTE: THIS APPLICATION FORM IS OPEN TO INSPECTION BY THE PUBLIC

NOTES

(A)‘Street’ has the meaning assigned to it in section 62 of the Control of Pollution Act 1974, namely, a ‘highway and any other road, footway, square or court which is for the time being open to the public.’

(B)In determining the application the Council will have regard to all the information stated in this form and the purpose or purposes for which the consent is being sought.

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