APPLICATION FOR SPECIAL WRATTEN, PERMIT
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Pursuant to Section #4 off cae N

"CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No. 992"
MAR 7 1977

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: Cerf. A = of ~ 2 sO AEE
(b) Civic Address: _ Riv 5 PLICOM RP, IMOKT COGUITLIN, OC
(c) Exact Location of Burning Site or Sites:
Leerlage C1. Peper fib tthe ELieg,
200 LAS a

(a) Name of Registered Owner: ERNEST AMG
(b) Registered Owner’s Consent to this Application: .
aac Dee
Signature of Registered Owner Le A CAT
(Position with Limited Company) GF (1£ applicable)

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

” nf , “ na
J Li he eh lhe Al Th el Vea is ee ae, vl ce a
Le. ttf eto tla “ou Ae Le Ltn abe! +

Lic be wit tat
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The type or types of material proposed to be burnt and a reasonably
accurate estimate of the amount of such material:

TYPE AMOUNT
Z
VE al Lrg W fo C-UE.

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

other danger or nuisance: 4
Bb rreclene [tb LEO, fe weet whe cee le

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 Sq

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

PROCEDURE Z .
PROCEDURE EA ZLelie

Fun bes and submit both copies to Signature of Ap, .acant 7

Fine Department rcports on reverse
Side and fonvards to City CLerk.

City CLerk places on Agenda gor I5G63 Devas Kw

Council meeting, Address
POY 2 - FILE.

Company Name

Telephone

Feh. 28P* FZ

Date of Application