APPLICATION FOR SPECIAL WRTHTE}? EMMI , Pursuant to Section (of by UN "CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No. 902" MAY 17 1976 1, The legal description and civic address of the property upon which it is proposed to set the fire and the exact location of the burning site or sites thereon: (a) Legal Description: (b) Civic Address: AW coh AVE ¢CGEmac PAVE (c) Exact Location of Burning Site or Sites: SOUTH Baotou Leta Apewore BNO" Elow VeatesT Duelliine pert 40T [lo NE My S66. TeH4o Plan 266s 2. (a) Name of Registered Owner: /7ERiIDInw DEVELopmen7Ts LTD, (b) Registered Owner's Consent to this Application: Signature of Registered Owner LD —-! (Position with Limited Company) Z Reesor (1£ applicable) 3. The days and the times of those days upon which it is proposed to have the fire burning: mL he te CBee OF feet AppRova. . Belvecn "7 ANI! Ano 7 PM LA More kira. Bayes 4 The type or types of material Proposed to be burnt and a reasonably accurate estimate of the amount of such material: TYPE AMOUNT Ptathots. — cepae — Biel ALPE LXmOs £ sTumps ow ty’) Aifeox. @SO_ Deaet. 4 LLELEO> > - PROCEDURE , LEE . iT. Comp£ete and submit both copies to Signature of Applicant Fine Department. . ;2. Fine Department reports on reverse CHEREUD I DE UCL ptenTe CO. LTE, side and forwards to City Clerk, Company Name 5 City CLork places on Agenda for BSL pob6f~a AMusTiw LP, oye , Council meeting. Address PS PF ETSS3 Telephone Date of Application