HomeMy WebLinkAbout05060171 Application
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TEMPORARY USE APPLICATION
-: FIREWORKS SALES OR SPECIAL EVENT
DMSON OF BUILDING AND CODE ENFORCEMENT
INCOMPLETE APPLICATIONS WILL DELAY PERMIT REVIEW.
APPLICANT/ OWNER INFORMATION
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APP~ANTNAME: 4/"d1Y~
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ADDRESS OF AP~ANT: C12 ~ ~ / /)
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(PLEASE PRINT OR TYPE) i
PHONE#: ~'i'} o1"'~77JcJ
FAX#: t.3'/1) g'4 r/f7Jr
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TEMPORARY USE INFORMATION 0 FIREWORKS SALES . SPECIAL EVENT I
NAME 9UlU~I}l~S/ORG~TIOl'j=-.. 6:-7.JT2:?
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ADDRESS OF TEMP~ qSEi _ / /)LJ. d
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DESCRIPTION OF TEMPORARY USE:
WILL mE TEMPORARY USE BE OUTDOORS?Qor NO
WILL mE TEMPORARY USE REQUIRE A STR~? (tent, stand, or mobile unit)@r NO
IF SO.~~F Slf~cr;;r:; AND INDICATE SIZE:
("NOTE MOBILE UNIT REQUIREMENTS ON BACK") MOBILE UNIT CERTIFICATION #:
WILL THE TEMPORARY USE UTILIZE A TEMPORARY SIGN? YES o@
r NOTE TEMPORARY SIGN REQUIREMENTS ON BACK")
IF APPLICATION IS FOR FIREWORK SALES:
(PLEASE REFER TO ADDmONAL APPLICATION REQUIREMENTS FOR FIREWORKS SALES ON BACK)
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HOURS OF OPERATION: /t:~ - ;{/ni?.41
WILL mE STRUCTURE BE USED FOR mE SALE OF MORE THAN SOO !LBS OF FIREWORKS? YES 0I(E9}
DOES mE STRUCTURE ALREADY !-LAVE A SPRINKLER SYSTEM INSTALLED? YES or~O)
HAS THIS STRUCTURE PREVIOUSLY BEEN USED FOR THE SALE OF FIREWORKS? YES o@
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OFFICE USE ONLY (DO NOT WRITE IN) PARCEL If
PERMIT If: ()~ () (Q 17 ( K.B ~~~~N~ <./ I 7 / Q ~ PERMIT FEES:
APPLICATION REVIEWED BY: - - 1~257 50 (Use PermIt Fee)
REQUIRED INSPECTIONS: .-.:i " .. 0$9625 (SIte InspeWon Fee)
o ELECTRICAL (B&:CE) 0 SITE (PLANNING}_Jl(.J:IREDEPARThlENJfJ 0$77.25 (SIgn Permit Fee)
2444 to schedule Electrical Cst Sit,e lnspc~tions
c~om. .5ZI- . 1 d-l~FireDep. artment'mspeetiOn,
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. Jun 17 05 08:56a J.S. Marten
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