BOULDER CREEK HIGH SCHOOL_SHERIFF'S SIGNATURE.PDF

FOR DEPARMENT USE ONLY:

SHERIFF'S OFFICE RECOMMENDATION

The State Fire Marshal or local fire chief has reviewed the site and fireworks described by the applicant and

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Sheriff's Office Signature Bate

PERMIT FOR FIREWORKS DISPLAY

The above application having been filed pursuant to A.R.S. § 36-1603, together with other proper
documentation; permission is granted to the above-named applicant to conduct a fireworks-display on the dates
set forth in the application. IN THE EVENT OF POSTPONEMENT OF SAID SHOW, the. display will be given
not later than one (1) week from the date specified above.

Approved by the Maricopa County Board of Supervisors:

DATED this day of 20.

Clerk of the Board, authorized signature