Laserfiche WebLink
PYRO ENGINEERING, INC. <br />DISPLAY SITE PLAN QUESTIONNAIRE <br />All iteins listed below are subject to all governing Federal, State, Municipal and local laws, rules, ordinances, regulations and codes, now or hereinafter <br />in effect, and to the conditions and limitations contained in the permits required or to be obtained by Sponsor. <br />SPONSOR: City of Santa Ana <br />Display Date 3 0 1G�� r Rain Date Budget: <br />Display Location:C -" ti v .a� �� �1 �s r_ t� . _ �'� Ste ._ � � CI <br />Time of Display: n,.re (Note: The actual start and stop time of the display will be <br />determined by the governmentat authorities having jurisdiction over the display), <br />IMPORTANT: PLEASE PROVIDE A SITE PLAN FOR YOUR EVENT LOCATION, INDICATING WITH AN X THE <br />EXACT SPOT WHERE FIREWORKS ARE TO BE SET-UP. <br />Coll Phone <br />Crew Contact Person: Telephone No: <br />Coll Phone No: <br />The Following Information is necessary in order for us to provide your community or organization with a display <br />that conforms with fireworks safety regulations and for the issuance of your Insurance certificate. <br />IN FEET, FROM THE <br />SPECTATORS, AUDIENCE OR PARKED CARS .................... ............................... <br />�t <br />OCCUPIED BUILDINGS (HOMES, APARTMENTS, ETC.) ...... ............................... <br />�1OD� <br />PUBLIC BUILDINGS (SCHOOLS, HOSPITALS, CHURCHES, ETC.) ...................... <br />TEMPORARY EVENT SET -UPS (CONCESSIONS, TENTS, ETC .) ........................... <br />MAIN PARKING AREAS ................................ . .......................... ....................... <br />HIGHWAYSOR ROADS ..... .................................................. I.......................... <br />OVERHEAD OBJECTS (POWER LINES, LIGHT POLES, TREES, ETC ..................... )O1�p <br />FUELSTORAGE ................................... ,,. � I........................... ............I.........I.....IN <br />PLEASE PROVIDE DIRECTIONS FROM NEAREST INTERSTATE TO DISPLAY SITE, A MAP WOULD ALSO BE <br />HELPFUL. <br />Local Motels/Hotels: Telephone Nos. <br />Signature <br />- <br />Please initial each <br />Inftbl here: <br />Sponsor EI <br />4 <br />