Kearney Special Use 30 Day Permit

DOWNLOAD SPECIAL USE 30 DAY PERMIT

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Owner and Contact Information:

Full Name
Address

Operator Information:

Full Name
Address

Location:

Address

Property Owner Information

Full Name
Address*
All tents and temporary structures must comply with the 2012 International Fire Code and all applicable NFPA standards
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Office Use

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Printed Name:
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