11.01.2015 Views

Mason County Fireworks Permit Application

Mason County Fireworks Permit Application

Mason County Fireworks Permit Application

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

The following pertinent information MUST be provided on the site diagram below<br />

Location and Setback distances from the back, sides and front of retail sales stands or<br />

designated display areas to:<br />

Fire Hydrants Property Lines Mortar separation distance<br />

Combustibles Parking Designated landing area<br />

Fire Lanes Public Roads and Right of Ways<br />

Trees/Brush Private Roads and Right of Ways<br />

Utilities<br />

Landmarks<br />

Applicants Affidavit<br />

I certify that the information provided herein is accurate and that compliance with all<br />

<strong>County</strong>, State and Federal laws pertaining to the sales or discharge of fireworks shall be<br />

maintained.<br />

Signed__________________________________ Date__________________________

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!