APPLICATION FOR SPECIAL WRITTEN PERMIT

Pursuant to Section 4 of the

.

"CLTY 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
site or sites thereon:

(a) Legal Description: hte - Pb BLL NWO
{b) Civic Address: LAY

(ec) Exact Location of Burning Site or Sites: — lots of bbs at ‘a
v

Name of Registered Owner: & DM, HOosDINGS LTO)
Registered Owner's Consent to this ;
Signature of Registered Owner a AAA. ft
(Position with Limited Company) _D. et fFeLe. (1£ applicable)

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

. [Aa a &E Marah (2 LLHE .

tins! Parcow- 7:00 am. tf Jive fm.

es of material proposed to be burnt and a reasonably
accurate estimate of the amount of such material:

TYPE AMOUNT.

bbe sree 6 few sch
5 ,

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

HOE Bb + 4 yd. bocbhe

Pras a

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:

pes emote eae puis sdfech.

1. Complete and submit both copies to Signature(pf Applicant
Fane Department,

2. Fite Oepartment reports on reverse
side and forwards to City Clerk.

3. City Clerk places on Agenda for REA Dawes ave., fot by.
Council meeting. Address

937-5 SEE
Telephone

Company Nane’

Marek 2 L1b-

Date of Application