APPLICATION FOR SPECTAL WRITTEN PERM
Pursuant to Sectien 4 of the N

“CITY OF PORT COQUI

TLAM FIRE PREVENTION BY-LAW, 1968, No. 902"

1. The legal description an
it is proposed to set the fi
site or sites thereon:

MAR 2 1 197?

d civic address of the property upon which
re and the exact location of the burning NCH Dewy Y
“A dz 4]

(a) Legal Description: £2. 9 Ss “Le Cfo Wht Eiuet LAND.

(b) Civic Address: 258 Fare AVE aoe BL

(c) Exact Location of Bu
OF PRAIRIE AVE

7
rning Site or Sites: 100 -f/50 — Sourd
IPA FROM Met aH Roo

—~LROP ERIS: ALGO 460" South of FRAWIE 30's’

FRO FROPERIY LIWE.
2. (a) Name of Registered Owner: VPI Bur 2 CATCzL P

(b) Registered Owner's Consent to this Applica
p

ions:
VL)

Signature of Registered Owner LA al Banektsid

7 noni
(Position with Limited Company) HA adcile nf (1£ applicable)

3. The days and the times of those days upon which it is proposed to

have the fire burning:

MOLE Fite ft FO CLE A AnD Bee Weed

THe Wen 7 Z

- 8 WEEKS CLLAI ME ta)

ORME SOLE AMS CLFAA  PASRI RE. LAW?

The type or types of material proposed to be burnt and a reasonably

accurate estimate of the

amount of such mate-ial:

TYPE AMOUNT

LOMABS Bee SH. Caf Thee

LOADS.

The methods proposed to control or abate any possible spread of fire

other danger or nuisance:

<< Gye Bos, ,

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 folloving special method of combustion is proposed: .

PROCEDURE

1, Complete and submit both copies to
Fixe Department.

2. Fine Oepantment reports on reverse
sdde and fonvards to City CLerk.

| 3, Céty CLork places on Agenda for
Counecé nieeting.

bw bnektsp

Signature of Applicant

furxchtils {arr

Company Name

650 frais Bue -

Address °

L Gf 2.- AL

. 07. FO RICKS K lephone
Pterch 12 [20 2 p00

Date of Application