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1J ~ j <br />$t9®f, I'S 86 <br />APPLICATION FOR PERMIT <br />FOR USE OF PYROTECHNICS <br />IN CONNECTION WITH THE <br />CONDUCT OF A PUBLIC EXHIBITION <br />IN LEE COUNTY, NORTH CAROLINA <br />(If space provided is not adequate, please attach <br />a sheet of paper, identify item by number <br />and complete answer thereon.) <br />1. Name and address of applicant(s) and type of organization <br />(proprietorship, partnership, corporation, joint venture): <br />Cencom Partners d/b/a Crown Cable (Partnership) <br />2516 Fayetteville St., Sanford, NC 27330 <br />Development Management, Inc (Corporation) <br />5601 Reddnam Road, PO Box 18625 <br />Charlotte, NC 28218 <br />2. Site, date, and type of public exhibition: <br />Riverbirch Corner Shopping Center <br />Tuesday, July 4th, 1995 <br />Arial Pyrotechnic Display <br />3. Details of pyrotechnic display to include number, type, <br />sequence, and explosive charge: <br />See Enclosed Program <br />4. Name and address of supplier of each type of pyrotechnic: <br />S. Vitale Pyrotechnic Industries Inc., New Castle, Penn <br />Grand Fireworks, Cuba, NY; Horse Brand, Bejing China; <br />Mantsuna, Taiwan and Star Specialty, Kindred, MN <br />5. Name and address of party who will conduct pyrotechnic display <br />for applicant and if a corporation, the name of its agent for <br />the service of process: <br />William Shearon, Wake Forest, NC for S. Vitale Pyrotechnic <br />Industries d/b/a Pyrotechnico, 302 Wilson Rd., <br />PO Box 149, New Castle, PA 16103 <br />