Application for Fireworks Permit TOWN OF MORRISTOWN, VERMONT P.O. Box 748, Morrisville, VT 05661 802.888.5147

Date Submitted:______

Name of Applicant: ______Physical and Mailing Address: ______

Telephone No.: ______

Purpose for Fireworks Permit: ______

______

______

Date of Fireworks: ______Starting Time: ______Ending Time:______

Rain Date: ______Starting Time: ______Ending Time: ______

Physical Location of Fireworks Display: ______

Location of Fireworks Storage: ______

Type and Quantity of Fireworks: (Acceptable Measures of Quantity: Pounds or Number of Pieces) 1.3 (Class B/Display) ______

1.4 (Class C/Consumer) ______

Company or Individual Providing Display: ______If using 1.3/Class B: BATFE License #: ______BATFE License Type: ______

By signing below I affirm that the Fireworks display will be conducted according to NFPA #1123 regulations regarding site selection, storage and performance; and the guidelines established by the Town of Morristown.

______Signature Date

For Office Use Only

Approval of Fire Chief ______Date ______Approval of Police Chief______Date ______Approval of Selectboard ______Date ______

D:\Docs\2017-12-15\0e06c31147314446341e870f465d4dd3.doc PERMIT FOR FIREWORKS APPLICATION PACKET

The right to grant permission for shooting fireworks resides with the Selectboard of the Town of Morristown. You must read and agree to ALL of the following guidelines below before submitting your request to the Town of Morristown for approval.

1. Applications must be submitted to the Town Administrator’s Office at least 30 days before the date chosen for your fireworks display to insure consideration for that date. 2. An application fee of $50.00 must accompany this form. 3. Requests may be made for one (1) calendar-year day only per application. One alternative rain date is allowed. 4. You must notify the: following Officials the day of your display a. Fire Warden Denny Digregario (Pager-826-2626) b. Lamoille County Sherriff’s Department Dispatch (888-3502) 5. All fireworks displays must end prior to 11:00P.M. EST. 6. Proof of ATF License must be on file with the Chief of Police to conduct a 1.3 (Class “B”) fireworks display. 7. Certain information regarding approved applications will be published by the Town in the local paper of record prior to any fireworks display. This will include: date of display, times of display and physical location of display. Public concerns can be addressed to the Town Administrator’s Office. 8. Any violations of the terms and conditions included in this application packet are subject to a civil penalty of up to $500 fine as per Town Ordinance (Article 0807-2B. Sec. II). 9. Approved Permit must be available at all times during the exploding of the fireworks and must be shown to any Enforcement Officer upon request.

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