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<br />Note: Applicant to complete all lines, except last two, which will be completed by <br />issuing officer, Enclose $2.00 pennlt fee In accordarlce with North Dakota <br />Cen1ury Code 23-15.03 arid mturn to Cass Cpunty Auditor, P.O. Box 2806, <br />Fargo, NO 58108, ~. '. <br /> <br />RECEIVED <br /> <br />C"'-J <br /> <br />APR 1 4 2008 <br /> <br />CL <br /> <br />-= <br /><Y"'1 <br /> <br />APPLJCATIONlPERMlT FOR FIREWORKS DISPLAY <br />FOR ENTERTAINMENT PURPOSES <br /> <br />CASS COUNTY COMMISSION <br /> <br />l..r'> <br /> <br />o <br />:= <br /> <br />COUNTY OF CASS, STATE OF NORTH DAKOTA <br /> <br />J-j- / 1- ~? <br /> <br />(Date of Application) <br /> <br />--' <br />LU <br />:= <br />:= <br />o <br />C/) <br />c.:: <br />LU <br />CL <br /> <br />This permit is issued to: <br />S7~/f;e. /),eE?Vol2)::S <br />(Name) . <br />/ a9()~ 3~1-:-- sr,eEET S (.PO Bv,X 81t1) <br />(Street Address) <br />J/o,f1/1C~1_ .IUD S-J'~ '17 <br />(City, State, Zip Code) <br />{7c>/) ;;Jgz... 6g Pi' <br />(TalaphOl1'e Number} <br />, . ;ZD <br />giving them the right to shoot and display fireworks on 1f1e '3 day of <br /> <br />k ,20 () S' at 9: c () o'clock PM at the location of <br />I~ nE~'r..f o/2/lCE <br /> <br />;<10 <br /> <br />:rib'!! <br /> <br />>- <br />I- <br />:= <br />= <br />o <br />"-" <br /> <br /> <br />Chaifi}'Uh J Qss C1l);~ Co YVlm'l Q(l~ <br /> <br />Title of Issuing Officer <br /> <br />C/) <br />C/) <br /><C <br /><-.;> <br /> <br />;::;;:: <br />CL <br />l..r'> <br />l..r'> <br /> <br />.. <br />C"'-J <br /> <br />= <br /><= <br /><= <br />c--J <br /> <br />By <br /> <br />SignatlJre of Officer <br />Issuing Pennit <br /> <br />...: <br /> <br />Q.. <br /><C <br /> <br />SUGGESTED MOTION: <br />Move to approve a permit for fireworks display to be held at 9:00 PM on May 3, 2008, at <br />Starr Fireworks, 10908 38th Street South in Horace, North Dakota. <br />