INSTRUCTIONS FOR COMPLETING LOCAL PERMIT (PENN.) |
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| Those having authority to sign a Permit are County Commissioners, Township Supervisors, Borough Manager (town Mayor), and Fire Chiefs (in some locales). | |
| A. | All responsibilities (civil & Criminal) remain with the individual purchasing the fireworks. |
| B. | NO ONE under 18 years of age may purchase fireworks. (Photo I.D. required.) |
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PERMIT TO PURCHASE & USE FIREWORKS FOR DISPLAY OR ENTERTAINMENT |
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| This Permit is issued to (name & address) ______________________________________ | |
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| giving him/her the right to display fireworks on the _____ day of _________ 20__, at the following location _____________________________ in said county, _________________, and permission is also granted to have the fireworks delivered to the above named permit holder. Rain Date _______ | |
By: _________________________________ |
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(Signature of officer issuing permit) |
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_________________________________ |
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( Title of officer issuing permit) |
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| I _____________________________ WILL BE SOLELY RESPONSIBLE FOR ANY PERSONAL OR PROPERTY DAMAGE DUE TO THE DISPLAY OF THE ABOVE FIREWORKS. | |
Signature _______________________ Date ___________ |
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