APPLICATION FOR SPECTAL WRETTEN PERMIT

Pursuant to Section 4'of the

“CLTY OF PORT COQUITLAM FIRE PREVENTION LY-LAW, 1968, No, 902"

1, The legal description and civic address of the property f h
it is proposed to set the fire and the exact location of the deni o -
site or sites thereon: . - JUN 26 1978
{a) Legal Description: / 2f ofA oflolOBILA MW ty Sec 8 TWPrYy
(b) Civic Address: 3593 Devou Rd Ps Leger.
tf
(c) Exact Location of Burning Site or Sites:

2543 Pesota Lat. Back Lrela

2. (a) Name of Registered Owner: Egencf Sila

@) Registered Owner's Consent to this Application:

Signature of -Registered Owner eee Lely

(Position with Limited Company) oe 7% — (if applicable)

3. The days and the times of those days upon which it is proposed to
have the fire burning: : . .

Any cloudy windles¢ “dla Ee tnd
Biutuivrg tf. 2s Eible 412 Deuter s

Nails 1n, WMTahevicel gauge et elearig cr %O cen:
Aauiacals Callest thece. ot

4. The type or types of material proposed to be burnt and a reasonably
accurate estimate of the amount of such material:

: TYPE AMOUNT

Branches rvoes a LALA Q yoprexr
Boyle ded ch tg Lok fvvin fywen YxXh xo (ret
dowjr«-. cheat :

3. The methods proposed to control or abate any possible spread of fire
or other danger or nuisance:

. Gardeu hose

6. Whether or not some special method of combustion is proposed to
promote a "smokeless" fire: .

(a) We do not propose to use any special method of combustion
(b) The following special method of combustioa is proposed:

| cies ‘* Enet Deb,
1 J. Complete and submit both copies to Signature of Applicdnc
4 Fine Department. .

12. Flae Department reports on reverse
1 sdde and fomvands to City Clerk. : _ Company Name

1 3. City C£ork places on Agenda for 3543 Devou Ra. Fe
: Counce? meeting,  ‘Kddresa

— —. _—

GY2-TIIE

Telephone

Date of Application