Fireworks Bylaw #5264 - City of Vernon
Fireworks Bylaw #5264 - City of Vernon
Fireworks Bylaw #5264 - City of Vernon
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PAGE 11<br />
BYLAW NUMBER 5264<br />
SCHEDULE "A"<br />
Attached to and forming<br />
Part <strong>of</strong> <strong>Bylaw</strong> 5264<br />
Application for Permit<br />
Consumer <strong>Fireworks</strong> or Display <strong>Fireworks</strong><br />
Name <strong>of</strong> applicant: ______________________________________________________<br />
Birth date: ___________________________ Age: _____________________________<br />
Mailing address: ________________________________________________________<br />
__________________________________ Phone: _____________________________<br />
Email: ________________________________________________________________<br />
Licensed <strong>Fireworks</strong> Supervisor Card<br />
No.______________________________________<br />
(attach photocopy)<br />
THE APPLICANT HEREBY applies to discharge C0NSUMER or DISPLAY (check<br />
one) <strong>Fireworks</strong> on property within the <strong>City</strong> as follows:<br />
Location: ____________________________<br />
Date: _______________________________<br />
Time: (Start) ___________ (End) _________<br />
Description <strong>of</strong> Special Public Event: ________________________________________<br />
Estimated number <strong>of</strong> spectators: __________________________________________<br />
Expected Type and quantity <strong>of</strong> <strong>Fireworks</strong>: ____________________________________<br />
Contact name and phone for organizer or sponsor Special Public Event:<br />
______________________________________________________________________<br />
______________________________________________________________________<br />
Contact name and phone for property owner: ________________________________<br />
Information on requirements can be obtained through the Fire Department<br />
Telephone: (250) 550-3565<br />
READ CAREFULLY<br />
THE APPLICANT CERTIFIES that the applicant understands and will be guided by the<br />
provisions <strong>of</strong> <strong>Fireworks</strong> Regulation <strong>Bylaw</strong>, 5264, 2010, as amended from time to time,<br />
and all applicable Provincial and Federal laws and regulations, as amended from time to<br />
time, and any conditions or restrictions imposed in this permit by the Fire Chief.