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| ‘ . APPLICATION YOR SPECIAL WRITTEN PERMIT
| Pursuant to Section 4 of the
i “CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No. 902"
: 1. The legal description and civic address of the property 4 c
it is proposed to set the fire and the exact location of the
site or sites thereon: J
i (a) Legal Description: MAR 2 2 1976
(b) Civic Address:
(c) Exact Location of Burning Site or Sites: is 0 a) Devow
Peat Ce@urrznm
2. (a) Name of Registered Owner: VERA Hit RAVE
: f
(b) Registered Owner's Consent to this Application: J
2
Signature of Registered Owner [fg Yy Atte:
(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:
WHE pV WEBTHER 4S mos 7
Fivrarasle ( PERion'C') -
4. The type or types of material proposed to be burnt and a reasonably ’
accurate estimate of the amount of such material: ”
TYPE AMOUNT
CurryWes  AnWO Beaver
5. The methods proposed to control or abate any possible spread of fire
or other danger or nuisance:
LER Sow pel ATTEN BENCE
i
i
6 Whether or not some special method of combustion is proposed to
{ promote a "smokeless" fires ;
‘(€a) We do not propose to use any special method of combustion [J
(b) The following special method of combustion is proposed:
PRy Kev oe( VE
/
PROCEDURE . oA Y/
T. Complete and submit both copies to Signature of Applicant 7%
Fine Department,

2. Fine Department reports on reverse

side and forwards to City C2erk. Company Name
3. City Clerk places on Agenda for SSHO DEVoNV
Counci£ meeting. Address
DH2Z-— FITE
Telephone

MARIE, 1976

Date of Application