Laserfiche WebLink
<br />~1/29/1994 ~1:25 9524762117 <br /> <br />: AMERICANA <br /> <br />PAGE 03 <br /> <br />" <br /> <br />APPUCAll0N FOR DISPLAY 0' FIREWORKS <br /> <br />'!'his fonl/ Is 10>' 1M oo_lfln&e Q/'rM issuing body. aIM' /orm3 Q1Id lor I.tte/'s may ~ acceptable. <br /> <br />Nam. of appliCMlt (Spontorial 0rpDIzad0u): <br /> <br />Mr. Teny Sweatey <br />Cltyaf~ <br />1880 Main SUWt <br />Cent<<viIle. MN S5038 <br /> <br />Name of alltlaorized apIlt of appBeaat: AMERICANA FIREWORKS mSPLA Y co. <br />P O. Hnx 0456 <br />P,",~~pr. MN ~5331.Q45.6 <br />WONF. 952-435-3918. FAX 952-470-2117 <br /> <br />Date of dilplaJ: AllGIlST 2. 2002 <br /> <br />TlIIle of dtIpIayl DUSK <br />Lemioa of ditplay: 0.( tv1.o-f&- ~v- L- <br /> <br />MaaDeT ..4 pia<< of lto.... of &-.works prior to display: No!lfol'llil' dellv.,.,.",j d~y of the <br />mm. <br /> <br />Type aad aOlller .ffil'f'l'l"orkl to be dhdaarpd: tIp to 4" - 5" aerial di$plav sbells. <br /> <br />Name of mpervUlDl operator: T....,llIll'li Rnnander OR OTHER LlCENStD OPERA TOR <br /> <br />c..1Uleate NO.1 BOI61 <br />-:t S1pat1lre ohpplfaat (or 1IIlWt) <br />, <br /> <br />, ,L ~ lDel1IWI <br />'\\JLiV'T. u ...& <br />1\ ,}#; "'I .Y {j"- 1.) <br />I 'j)(Y" ~ 2.) <br />I 3. <br /> <br />I <br />I <br /> <br />Date: <br /> <br /> <br />of age or older <br />Date t j";,i / Z-cc~ <br />/ I <br /> <br />COpy <br />MAlL OR PAX TO: AMERICANA FIREWORKS <br />FAX 952147()"2117 <br />P.O. Box 0456 <br />Excelsior. MN 55331-0456 <br />