APPLICATION FOR SPECIAL WRITTEN PERMIT pa
Pursuant to Section 4 of the

“CITY OF PORT COQUITLAM FIRE PREVENTION BY-LAW, 1968, No. 902"

1. The legal description and civic address of the property upo
it is proposed to set the fire and the exact location of the bt
site or sites thereon:

(a) Legal Description: 7 & 8 Blk.Q DLN66 GP 1 PL 17811
(b) Civic Address: 161: Westminster Ave,

(ce) Exact Location of Burning Site or Sites: C@nter of Prop

2. (a) Name of Registered Owner: Grampion Ventures Ltd,
(b) Registered Owner's Consent to this Applicatio:
Signature of Registered Owner, . n
; (Position with Limited Company)” b+7 Yet—Ajerro— ag applicable)
3. The days aad the times of those days upon which it is proposed to
have the fire burning:

Monday 8 A.M. to Friday 4:30 P.M. 15th. to 19th.

March :
Monday 8 A.M. to Friday 4:30 P.M. 22d. to 26th. af necessary

March =

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

_————_IInierhrnsh stumps ond loge . —From—8RDroxs Usteres

5. The methods proposed to control or abate any possible spread of fire
or otLer danger or nuisance:

At least one back hoe or bulldozer to be on hand at all times of

burning complete with operate,

6. Whether or not some special method of combusticn is proposed to
promote a "smokeless" fire:

“(a) We do not propose to use any special method of combustion [x]
{b) The following special method of combustion is proposed:

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PROCEDURE

Complete and submit both copies to
Fine Department,

Fixe Department renorts on reverse John-Wayne Construction Ltd.
side and fomwands to City Clerk, Company Name

City Clerk places on Agenda for P.O. Box 161, Port Coquitlam, B.C.
Council meeting. Address

941-6022
Telephone

Date of Application