Night Filming Temporary Location Permit
Permit No.:
Date of Issue:
Permit Holder Information
Production Company:
Contact Name:
Phone:
Email:
Address:
Filming Details
Location Address:
Description of Activities:
Dates:
Night Filming Hours:
Number of Crew:
Number of Vehicles:
Special Effects/Equipment:
Conditions
Permit must be kept on location and produced upon request.
Compliance with all city regulations and noise ordinances is required.
Permit valid only for the dates and times specified above.
Applicant is responsible for any damages or disturbances at the site.
Other conditions:
Applicant Signature
Date:
Approving Authority Signature
Date: