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, . <br /> PER�II����� TQ APPR.�ACH MUNICIPA�:ITY <br /> �ireworks, Fr�edarn, 8c Fun <br /> 38+��:Gables Court <br /> Eau Cl�ire� WI 5�4701 <br /> 7��.. 2-767� (cell} 7is-83s-6488`�fax) <br /> I give p�ermiss�on ;� � :���reser�tati�e of Fireworks, Fr++�eedom, &Fun to set up a <br /> tent in my parkinc; rc. �rt7m approxsmately� c7��� <br /> through 7 =���� ' ��_�__ for the p�rpose of se�ling retail flreworks. <br /> I undet�tar�d th�t ��r���c�rks, Freedom, & Fun witl comply witfi local c3rdirtianc�s <br /> and laws�nd will �p�>�o�i fc�r the necessary permitting, <br /> Firewc�rks, Freedc�3;�; :� �un will carry Iiability insuranc+� and a copy will be <br /> provhded to me arc� � ;�. iocal mur�icipality. <br /> SiC1C�l'��Y, <br /> .___����r1.1��.�._�__.��-`��n�1�N 1 <br /> Printed Mame __ <br /> _ ' ����..�._._���1�-&�h�,t�� � ��- . <br /> � <br /> Name of Business <br /> �N 3 a 1 l`� �#� ���� ��I�r� vn,'oN C��+�, GA , �s�1 <br /> �£�I"t'SS� �.1�lj �$r��_�"_, '_� ----�r- <br /> � a�`�,>�' - �P�r�,��N,'�ao�. �'e� <br /> Telepho�e E-mail <br /> ,� <br /> �,/ �., : <br /> ��(X L�� ,C _ .._--- <br /> �._.._.,_°.: ,. <br /> 5ignature o 'Busi��� ��. .�� <br />