Application for the Display of Family Fireworks

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.