Application For Air Support/air-Inflated Structure - Ocean City Fire Department - Office Of The Fire Marshal Page 4

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OCEAN CITY FIRE DEPARTMENT

OFFICE OF THE FIRE MARSHAL

APPLICATION FOR AIR SUPPORT/AIR-INFLATED STRUCTURE

Submit application to:

For Information Contact:

Office of the Fire Marshal

P.O. Box 158

Ocean City, MD 21843

Phone Number 410-289-8780

PLEASE TYPE OR PRINT CLEARLY AND COMPLETE ALL AREAS OF THE APPLICATION

Date(s) of proposed air-support/air-inflated structure setup: __________________________

Name and complete address of applicant: ________________________________________________________

City: _________________________ State: _________________ Zip Code: ___________

Ocean City/local address: ____________________________________________________________________

Phone Numbers that the applicant may be reached at: Home phone _______________

Cell Phone ________________ Ocean City/Local Phone _________________ Other _______________

Proposed air-support/air-inflated Location:

____________________________________________________________________________Ocean City, MD

*******Site plan must be submitted with application*******

Note: The issuance of the permit is based upon the information contained in this application only, and does not

cover unsatisfactory conditions resulting from errors, omissions or failure to clearly indicate conditions. Any

change(s) to the application shall be submitted to the Office of the Fire Marshal for review.

I hereby certify that I am aware of the conditions and requirements for installing an air-support/air-inflated

structure and agree to comply with those conditions and requirements. I understand that failure to comply with

the conditions would mean cancellation of this permit and possible denial of future permits.

Applicants name Print_________________________ Signature _____________________ Date ____________

Official Use Only Below

Application received _____________

Permit application #____________

Deputy Fire Marshal Assigned_______________

Reviewed and ready for invoicing _______________

Applicant notified permit is ready for issuance ________________________

Revised 7/10/09

OFFICE OF THE FIRE MARSHAL

APPLICATION FOR AIR SUPPORT/AIRINFLATED STRUCTURE

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