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Note: Applicant to complete all lines, except last two, which will be completed by issuing <br /> RECEIVED officer. Enclose $2.00 permit fee in accordance w~th North Dakota Ccntu~ Code 23- <br /> 15-03 and return to Cass County. Auditor, P.O. Box 2806, Fargo, ND 58108. <br /> 2 8 2002 <br />CASS COUNTY C, OMMI~ION APPLICATION/PERMIT FOR. F/REWORKS DISPLAY' <br />. FOR ENTERTAINMENT PURPOSES <br /> <br /> (D~e of thi~ Application) <br /> <br /> Thi~ peC'igit is issued to: , <br /> <br /> (Address) <br /> <br /> (~e!ephone Numbe~) <br /> <br />~ving them the fight to shoot and display fixeworks on the <br /> <br /> at .-<.,ct.,~-~-,~,~-lock PAM __ <br /> [OC ~/~ ' <br /> <br />J:\A UD ITORk~ CH EP P\FIRE WORKSPERMiT. wlxt <br /> <br /> Title of Issuing Officer <br /> <br />By. <br /> Signature of Officer <br /> Issuing Permit <br /> <br /> <br />