Laserfiche WebLink
Note: Applicant to complete all lines, except last two, which will be completed by issuing officer. Enclose $2.00 permit fee in accordance with North Dakota <br />Century Code 23-15-03 and return to Cass County Commission Office, P.O. <br />Box 2806, Fargo, ND 58108-2806. <br />APPLICATION/PERMIT FOR FIREWORKS DISPLAY FOR ENTERTAINMENT PURPOSES <br />COUNTY OF CASS, STATE OF NORTH DAKOTA <br />This permit is issued to: g�� E�Rf (AJO<ZKS(Name) <br />l O 9 0=1 :> Cf]lr,_ �T 5(Street Address) <br />k:\oR�E' , t0,D 'S:bol./1 (City, State, Zip Code) <br />lo I -51"6 -Lf O �o <br />(Telephone Number) <br />(Date of Application) <br />giving them the right to shoot and display fireworks on the l--( day of <br />MA -(, 20 li_ at q � DO o'clock PM at the location of <br />\ OS Cfi, 3�� �T S l-lonfCE' , AJ. D 5� o 47 <br />in said Cass County, North Dakota. g� <br />SUGGESTED MOTION: <br />Move to approve a permit for fireworks display to be held at 9:00 PM on May 4, 2024, at <br />Starr Fireworks, 10908 38th Street South in Horace, North Dakota. <br />Title of Issuing Officer <br />By __________ _ Signature of Officer Issuing Permit