Application for the Display of Family Fireworks

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Family fireworks

This application is for submission purposes only and is not an approved family fireworks display permit. Once this application is received and approved by staff you will receive a Permit Number via e-mail.

Note that all permits issued will become null and void if there is a Fire Ban declared by the Horton Township Fire Chief.

ATTACHMENTS

  • PERMIT FEE (IF REQUIRED)
  • APPROVAL LETTER FROM THE OWNER OF THE PROPERTY WHERE FIREWORKS WILL BE DISPLAYED
  • LOCATION SKETCH OF THE PROPOSED LOCATION FOR THE FIREWORKS DISPLAY
  • DESCRIPTION OF THE FIREWORKS TO BE DISCHARGED, THE DISCHARGE TECHNIQUES TO BE USED, AND THE MANNER AND MEANS OF RESTRAINING UNAUTHORIZED PERSONS FROM BEING TOO NEAR THE DISCHARGE LOCATION
  • PROOF OF CURRENT HOMEOWNERS PROPERTY LIABILITY INSURANCE POLICY, AMOUNT OF COVERAGE AND EXPIRY DATE
  • APPLICATION MUST BE SUBMITTED 7 DAYS PRIOR TO THE EVENT.

Applicant Information

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Event Information

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* Special Occasion Date
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Alternate Date if the Above Date is Cancelled
* I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE, CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT I HAVE READ AND ACCEPT THE REQUIREMENTS SET OUT IN BY-LAW 2014-35.

Attachments

I am unable to provide the above forms electronically. I will bring these forms into the Municipal Office to be included with my on-line application. I understand that a permit will not be issued by the Township until these forms have been received and approved.