APPLICATION FOR SPECIAL WRITTEN C chef | é
Vi
Pursuant tu Section 4 of chk y

“CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, HAR | Jgo’

1. The legal description and civic address of the property upon which
it {48 proposed to set the fire and the exact location of the burning
alte or sites thereon:

(a) Legal Description: Ao 3° % 25 24H G2 PA HOl CARL FL ffs Oo ved,

(b) Civic Address: DW ated Aon, eat fgryeecitnn,.

(c) Exact Location of Burning Site or Sites: 2ov $ —~v0Y
A EE A

Ch. aA ave
A,

(a) Name of Registered Owner: Le metus re
(b) Registered Owner's Consent to this pe wae ) ;

Signature of Registered Owner Pg OOM Le Winters

(Position with Limited Company) Tea, Hs 4 get (L4£ applicable)

7

3. The days and the times of those days upon which it is proposed to
have the fire burning:
pay RT a 2 el)
Bron DW nals Ar od Lex Bo yerad 12,
_h. ght ant pte Pemd hin mike, ° pf Ag As Y wth if

pacK VATS cf fivihporust Se AGT CBA IT
Zot t. TAPES

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

TYPE AMOUNT
SAAS $e STU POP Narre pane flak

UADIN BRAVE BIEL AIS: Rel GUT 1% wily
(Ate Ub ARLE te Pt SE TReeés AEptavin). Sit /2 o FO CY Yo

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

BACH APOE OA AvlLL POZE on fay
(FIRED 70 RE REPT AEA oe Nl fw SIZE eae
A Pri a 20d LX laren ots eg Parca Assay?

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<]

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

PROCEDURE () WA PD)
pene Aw: LEAS OT.

1. Comp£ete ard submit both copies to LAignature of Applicant

Fine Department.

2. Fine Department acports on Acverse
side and forwards to City Clerk, Company Name

3. City Clerk places on Agenda or Aske £LGiy Aer Polo,
Couneieé meeting. Address

947 * G o22.

Mine L j2 Ao? Telophona

Date of Applicacton

TeHn-wrywe Conve Tide 71 O07