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HomeMy WebLinkAbout99 025a Schedule 'A' Pbl Halls By-law No. 1999 – 25 Public Hall Licensing By-law SCHEDULE “A” APPLICATION FOR A PUBLIC HALL LICENCE IN THE KINCARDINE WARD WITHIN THE CORPORATION OF THE MUNICIPALITY OF KINCARDINE I (or we) ______________________________________________________ Of the Kincardine Ward within the Municipalit of Kincardine do hereby apply for a PUBLIC HALL LICENCE for _________________________________________________________ Address: ________________________________________________ Postal Code: _______________ Capacity: ____________ persons Proof of liability insurance of at least $1,000,000 is attached ___________________ Date: ___________________________ Signed: ______________________________________ Position: ______________________________________ ========================================================================= I hereby certify that I or an authorized officer of this department have inspected the public hall within the last three months and confirm that it conforms with applicable sections of the Ontario Fire Code and that the reported capacity above is accurate. Date: ____________________________ Signed: _______________________________________ Fire Chief I hereby certify that I or an authorized officer of this department have inspected the public hall within the last three months and confirm that it conforms with the applicable sections of the Ontario Building Code. Date: ___________________________ Signed: _______________________________________ Chief Building Official Proof on Insurance Attached? ___________________ Fee: ______________________________ Date of Issue: _________________________________ Licence No. ________________________