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terms hereof. <br />13. Notification of approval/denial of this request will be issued by return of this form, upon signed <br />authorization by the Board of Public Works. <br />14. The City of South Bend Noise Ordinance is in effect at all hours. Between the hours of <br />11:00 p.m. and 7:00 a.m, certain noises are particularly prohibited. These include <br />operating radio receiving sets, musical instruments, phonographs and other sound <br />reproduction devices if audible fifty (50) feet away, as well as shouting, yelling, hooting, <br />whistling, or singing in the streets in a manner to disturb the peace (Municipal Code 13- <br />57). <br />I have read the Application and Permit and the Agreement for the "Use of Right -of -Way for Block <br />Panties" and I understand and agree to the above rules and regulations. I also understand that this <br />application may be denied based on any false or incomplete information. <br />Dated this day of 20 <br />APPLICANT Signature <br />Printed Naine <br />BOARD OF PUBLIC WORKS APPROVAL <br />President Member <br />Member <br />Member <br />RETURN FORM TO: <br />Board of Public Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 <br />Member <br />Date <br />