APPLICATION FOR SPECIAL WRT

Pursuant to Section 4 w 4 af N
“CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No, 902"
APR = 38 GES

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: Zor /S5S6 Altus Ye SEC GC Terese 40 PLav 46630)

(b) Civic Address: 1374 LAVLIER Ave:

(c) Exact Location of Burning Site or Sites:
REPR 0F 4979  4AIRIEL.

Name of Registered Owner: CiTy 8F Lk oui reg9

Registered Owner's Consent to this Application: :
Signature of Registered Owner
(Position with Limited Company) (4£ applicable)

3. The days and the times of those days upon which it is proposed to
have the fire burning: 4

tah uttteencls  CFRi pene Tite Sat prec wees)
Duka CeovkSE Ween flu FRoem BPFPRIC
(2 /9P7E. ve Weve 2 97. THE

By hwide wiht. fesBABey Ge HE Last
Four: Ieee nes ef THe Cau Ree

460 The type or types of material proposed td be burnt and a reasonably
accurate estimate of the amount of such material:

TYPE AMOUNT
cise - SORAE fy ae BER _ AffRi« | RO

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

10_/781L3 OF WATER t SPARK CATCHERS.
wt Fr RE EK TINGUISHERS CDAY OWeniCA TW)

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 [7
(b) The following special method of combustion is proposed:

PROCEDURE C S ' Ss
cee . —_ bathe’ dia Damas
1, Comp£ete and submit both copies to Signature of Applicant

Fine Department. ;
2, Fixe Department reports on reverse ; as A. Fort G es ctbin (Poe.
sdde and fonmmrds to City Clerk, Compahy Ndne ; (Gan he.
3. City Clerk places on Agenda for / 46g
Counci£ meting. x S74 verse une.
Vl- bb 22. Up2- 02 OS
Telephone

Mikel 2B 794

Date of Application