APPLICATION FOR SPECTAL waif
Pursuant to Section 4 |

“CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No. 902"

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
‘elite or sites thereon: 1. 20-4-B6NRIE 4318 3. 13-586 NRIE -22835
(a) Legal Description: 2* 37.68 PTN of C.(Bylaw 1204)18 & 19-586 NRIE 1937)
4. 4 =BSNRIE~=-23 260

(b) Civic Address: 531 Dominion Avenue
(c) Exact Location of Burning Site or Sites:

Northwest Corner of Golf Course.

.2. (a) Name of Registered Owner: Mr. Te Banns

(b) Registered Owner's Consent to this Application?
Signature of Registered Owner ° af dt Lge?
(Position with Limited Company) (1£ applicable)

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

Those days between January 20, 1977 and March 15, 1977 as specified.
by Fire Chief in special permit as request of PoCo Valley Golf & Country

Enterprises, Ltd,

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

.

TYPE AMOUNT
Tree Branches and Underbrush Moderate

5. The methods proposed to control or abate any possible spread of fire
or other danger or nuisance:
Burning area on Golf Course js isolated. Will be patrolled at all times.

Bull Dozer on hand.

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 combustion is proposed:

PROCEDURE 7
1. Complete and submit Loth copies to “Signature of Applicant

Fine Department,
2, Fine Department reports on reverse PoCo Valley Golf & Country Enterprises, Lid.
Side, and fonvards to City C£erk. Company Name

5. City Clerk places on Agenda for 531 Dominion Avenue, Port Coquitlam, B.C,
Council meeting. iddresa

941-4076
Telephone

~- _
duransy aS LlI77
Date of Application