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Note: <br /> <br />Applicant to complete all lines, except last two, which will be completed by issuing officer. <br />Enclose $2.00 permit fee in accordance with North Dakota Century Code 23-15-03 and <br />return to Cass County Auditor, P.O. Box 2806, Fargo, ND 58108. <br /> <br />APPLICATION/PERMIT FOR FIREWORKS DISPLAY <br /> FOR ENTERTAINMENT PURPOSES <br /> <br />COUNTY ~;~..~...~ <br /> <br />STATE <br /> <br />(Date of this Application) <br /> <br />,2oo <br /> <br />This permit is issued to: <br /> <br /> (Name) <br /> <br />(Street Address) <br /> <br />(City, State, Zip Code) <br /> <br />(Telephone Number) <br /> <br />giving them the right to shoot and display fireworks on the <br /> <br /> day of <br /> <br />at (location) <br /> <br />in said ~,,'~5--q County, North Dakota. <br />  atf~e of Applicant <br /> <br />o'clock PM <br /> <br />SUGGESTED MOTION' <br />Move to approve the permit for a fireworks display for entertainment purposes, <br />according to an application submitted by Jerry Black, 6810 Golden Spike Road, <br />Fargo, ND, on the date of the 4th of July, 2003, at 9:00 PM. On roll call vote, the <br />motion carried unanimously. <br /> <br /> <br />