Laserfiche WebLink
<br />Note: Applicant to complete all lines, except last two, which will be completed by <br />issuing officer. Enclose $2.00 permit fee in accordance with North Dakota <br />Century Code 23-15-03 and return to Cass County Auditor, P.O. Box 2806, <br />Fargo, ND 58108. <br /> <br />APPLICATION/PERMIT FOR FIREWORKS DISPLAY <br />FOR ENTERTAINMENT PURPOSES <br /> <br />COUNTY OF CASS, STATE OF NORTH DAKOTA <br /> <br />This permit is issued to: <br /> <br />3-2:2-Ub <br />(Date of Application) <br /> <br />.-.-:- <br /><.~ --;r-/" /').17 <br />.>-';;$ / /1 i'C t<.- <br />(Name) <br /> <br />3'0- / --2/7C/ /){>c S <br />~5DS ~ - /y"'C_ <br />(Street Address) <br /> <br />/'::;;R 6 D /./ LJS- 6/0 Y <br />(City, State, Zip Code) <br /> <br />(70/ ) <--::?cf2- u3f/? <br />(Telephone Number) <br /> <br />/0,;2 6 c:. i.J{)/c;:..'S <br /> <br />giving them the right to shoot and display fireworks on the5/~ (; I;y of <br /> <br />mAY <br />38'0:) <br /> <br />, 20 0(,.:- at 9;) '5 o'clock PM at the location of <br />5~ 1-!J A v[:. S F/l:€6o AJor5/cJ'l <br /> <br />in said Cass County, North Dakota. <br />''';' <br />Y Le.-- <br /> <br />Signature of Applicant <br /> <br />~,d ~ <br />Lhairrn~~6mm; ~On <br /> <br />Title of Issuing fficer <br /> <br />By <br /> <br />Signature of Officer <br />Issuing Permit <br /> <br />J:\AUDITOR\SCHEPP\FIREWORKS PERMIT.doc <br />