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PYRO ENGINEERING, INC. <br />DISPLAY SITE PLAN QUESTIONNAIRE <br />AU items listed below are 8ubJect to all povernlnp Federal, Stele, MunMJpal end local levee, rotes, ordinaneea, reputations and codas, now or hereinafter <br />In effect, and to the condMons and limitations contained In the permUS required or to be obtained by Sponsor. <br />SPONSOR: City <br />of Santa Ana <br />Display Date �-�G';t `�—Rain Date: Budget: <br />� � 7 <br />Time of Display: ; U O .n.._ (Note: The actual alert and stop time of the display will be <br />determined by the governmen al authorities having )urisdlctlon over the display). <br />IMPORTANT., PLEASE PROVIDE A SITE PLAN FOR YOUR EVENT LOCATION. INDICATING WITH AN X THE <br />EXACT SPOT WHERE FIREWORKS <br />ARE TO BE SET -UP. <br />Lo / Fire Marsha /: Telephone No: -1%1j <br />C-7, Phone No: <br />Crtaw Contai Person: Telephone No: <br />Ce // Phone No: <br />Tha Fo!/owJng lnformatlon Is necessary In order for us to provide your community or organlzatlon with a dlsp /ay <br />that conforms with fireworks safety regu /atIons and for the Issuance of your Insurance certificate. <br />DISTANCES, IN FEET, FROM THE FIRING AREA TO THE FOLLOWING: FEET <br />SPECTATORS, AUDIENCE OR PARKED CARS .................... ............................... 5 ( S <br />OCCUPIED BUILDING8 (HOMES, APARTMENTS, ETC.) ................. � S� <br />.................... <br />PUBLIC BUILDINGS (SCHOOLS, HOSPITALS, CHURCHES, ETC.) ...................... <br />TEMPORARY EVENT SET -UPS (CONCESSIONS, TENTS, ETC .) ........................... % OU <br />MAIN PARKING AREAS .............. 5� <br />.................................... ............................... <br />HIGHWAYSOR ROADS ................................................... ............................... <br />OVERHEAD OBJECTS (POWER LINES, LIGHT POLES, TREES, ETC ..................... <br />FUELSTORAGE .............................................................. ............................... �fY� <br />PLEASE PROVIDE DIRECTIONS FROM NEAREST INTERSTATE TO DISPLAY SITE. A MAP WOULD ALSO BE <br />HELPFUL. <br />Local MotaWHotels: Telephone N/o�s. <br />Slynature rive., C fi) <br />Date <br />ATTISSM <br />Please hitlal each page. <br />lnfaalnate: !/1 QR. D. IZAR <br />9 rreor <br />CLERK OF THE COUNCIL <br />