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APPLICATION FOR SPECIAL worl) |

Lj
Pursuant .to Section 4 of the

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

(a) Legal Description: PLAN iS 94.2 DIST Lory rou siipP
(b) Civic Address: ENN OF Scot, SE Rema AUS
(c) Exact Location of Burning Site or Sites: CENTER OF

PLO PE RTY SIZE ISO’ By aso’

2. (a) Name of Registered Owner: LiENTKE Con st. LTD
(b) Registered Owner's Consent to this Application:

Signature of Registered Owner Mind Ltd

(Position with Limited Company) PRES (DEIT (1£ appiicable)

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

10. — 7F-
L277 Teo f-Ri 4d LLAL B- F LOG

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

TYPE AMOUNT
TREES, BRANCHES

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

CAT + LOATUtlsARD

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

“(a) We do not Propose to use any special method of combustion [X]
(b) ‘The following special method of combustion is Proposed:

‘ante,

PROCEDURE Via Kis

1, Comp£ete and submit both copies to Signature of Applicant

2, Fine Department reports on reverse LIENTKE CoustT LTO.
side and fowands to City Clerk, Company Name

3. City Clerk places on Agenda for qo 3Y Ig7ts ST. Soe BC
Je

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7 . | Fixe Department,
i
Councdcé meetin
t

Address

574- 591¥

An R| L QY | No Telephone

Dace of Application