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<br />Note:uApplicant to complete aU 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, NO 58108. <br /> <br />RECEIVED <br />APPLICATION/PERMIT FOR FIREWORKS DISPLAY FEB '-~ 2009 <br />FOR ENTERTAINMENT PURPOSES <br /> <br />CASS COUNTY COMMISSION <br /> <br />COUNTY OF CASS, STATE OF NORTH DAKOTA <br /> <br />This permit is issued to: <br />57/1 /2.IC ;:-I/C- Ec-0 o/c Ie S <br />(Name) <br />It) 90-5 .?8f_t.. Sf' 5' ere? ~~x' J1tt) <br />(Street Address) <br />I!be14- Ce I NO S ~() if7 <br />(City, State, Zip Code) <br /> <br />("70/) S gg- t-/o'La <br />(Telephone Number) <br /> <br />;{,. IJ 5 r' tJ r <br />(Date of Application) <br /> <br />'1hd <br />giving them the right to shoot and display fireworks on the c:;>( day of <br />J.1 13'Y , 20 () q at q ~ 00 o'clock PM at the location of <br />571fJ!-fL FliZf/;0<.1(Z;U ;ft;te/,/ cL. )V f) <br /> <br /> <br />GVv:wlw~mal)) CLtJ') GUltllj CPrnfh;fS\\~ <br />Title of Issuing Officer <br /> <br />By <br /> <br />Signature of Officer <br />Issuing Permit <br /> <br />SUGGESTED MOTION: <br />Move to approve a permit for fireworks display to be held at 9:00 PM on May 2,2009, at <br />Starr Fireworks, 10908 38th Street South in Horace, North Dakota. <br />