APPLICATION FOR SPECIAL WRITTEN PERMIT py

Pursuant to Section 4 of the

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

1. The legal description and civic address of the property upon n whic
it is proposed to set the fire and the exact location of the barnfn ng &-
aite or sites thereon: (ti

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(a) Legal Description: 7 & 8 BLk.Q Dil66 GP 2 PL 17811

(b) Civic Address: 161] Westminster Ave,

(c) Exact Location of Burning Site or Sites: Center of Prope?

FAR 3 1976

(a) Name of Registered Owner: Grampjon Ventures Ltd

(b) Registered Owner's Consent to this Application:
pA)
Signature of Registered Owner. Hy bal

(Position with Limited company”. be Veta v (L£ applicable)

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

Monday 8 A.M. to Fridey 1:30 P.M, 15th. to 19th.

March :
Monday § a.M. to Friday :30 P.M. 22d. to 26th. if necessary

March

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

TYPE AMOUNT.

Under brush stuwps and Logs . Bom approx, [Acres

5. The methods proposed to control or abate any possible spread of fire
or other danger or nuteance:
At least one back hoe or bulldozer to be on hand at all times of

burning complete with operato,

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 |

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

f\...
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PROCEDURE | LA
1. Complete and submit both copies to ighatite of Applicant

Fine Department.

2. Fine Department reports on reverse John-Wayne Construction Ltd»
side and fonvands to City Clerk. Company Name

3. City Clerk places on Agenda for P.O. Box 181, Port Coquitlam, B.C.
Councie meeting. Addreas

941-6022
Telephona

Date of Application