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VAUD ~'O PERMIT NO. <br /> <br />PERMITTEE <br />Address <br /> <br />USE <br /> <br />PERMIT FOR: <br /> <br /> ] Fireworks Display-lndoors <br /> <br /> ] Blasting-One day <br /> <br /> ] Fumigation/Thermal Insecticide Fogging <br /> <br /> ] Places of Assembly- More than 100 Persons <br /> ] Repair Garage Servicing Motor Vehicles <br /> ] Underg~'ound Storage Tank Removal <br /> <br />[ ] Wrecking, Junk Yard or Waste Handling Plant <br /> <br /> Lumber Storage in excess of 100,000 Board Feet <br />[ ] Hazardous Materials/Chemicals. Amount <br /> <br />Fireworks Display-Outdoors <br /> <br />Blasting- Two or more days <br /> <br />H efiportjHelistop/Air port Operations <br /> <br />Tire Rebuilding Plant <br /> <br />Pulverized Dust Particles <br /> <br />Underground Storage Tank Installation/upgrade <br />Combustible Fibers Storage/Handling <br /> <br />[ ] Combustible Gas, Storage or Handling. 2,000 cubic feet of flammable or 6,000 cubic feet non <br /> flammable <br /> <br />[ ] Dispensing of Hazardous Chemicals from Underground Storage Tanks. <br /> <br /> 2. 'I~IE PE~,Iff IS USED FOR'I'HE OONDfflON ~ ~ <br /> ~- THE PErg, I~ UMffATIONS ANO OON~ SI-~J. EIE AOHE]~EO TO. <br /> 4. 'tHE PERMZl' t~ VALIO ONLY FOR'I~IE PE]::ISON OR FIP~ TOWHOM ri- ts i~SUE n <br />FAlL URE TO FOZZ OW ~-HE$~ GUIDE/liltS OR FALSE STATEMENT$ OR M/$REPRE$£NT'A 770N$ TO A MA T~'R~AL FACT/II THE <br />A PPZ ICA TIOtl FOR THE PERMIT O R ?LA N$ SUBMITTED ORA ~NDITION OF THE PERMrT S HAL Z RES UZ TIN REVOCATION, <br /> <br />FIRE OFFICZAI <br /> <br />DATE <br /> <br /> <br />