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Fireworks Sales Application

Application Fee: $192.00

Licence Type:

Renewal

New

Buisness Information

Type of Business:

Name of Business:

Address:

Phone Number

Day:

Evening:

Applicant Information

Name of Applicant:

Address:

Phone Number

Day:

Evening:

Email Address:

Attachments:

Detailed description of structure
Detailed description of storage/sale location
Detailed disription of safeguards
Number of extinguishers
Written permission of property owner (if applicable)
Site plan
Application Fee
Copy of insurance ($5 million + Township of Scugog as additionally insured)

Attachments:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I DO SOLEMNLEY DECLARE THAT THE STATEMENTS CONTAINED IN THIS APPLICATION ARE, FROM MY KNOWLEDGE TRUE. I FURTHER ACKNOWLEDGE THAT ALL FEES ARE NON-REFUNDABLE.

Signature:

Clear

Date:

How would you like to pay for this application?

In Person (Debit/Cash/Cheque)

Online (Debit/Credit Card)