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2. 
3. Franklin County Public Safety
   Application for Permits

   Amusement Building, Assembly (Church, Restaurant, Harvester, Etc.), Commercial Burning, Commercial Cooking, Explosive Blasting Storage, Fireworks Ariel Display, Fireworks Retail, Fireworks Mercantile, Hazardous Material, LP Gas Refill, Occupancy Permit, Social Service Licenses, Scrap Tires or byproducts (250 or more)

5. Type of Permit*
   -- Select One --Amusement BuildingAssembly (Church, Restaurant, Harvester, etc.)Commercial BurningCommercial CookingExplosive Blasting StorageFireworks Arial DisplayFireworks RetailFireworks MercantileHazardous MaterialLP Gas RefillOccupancy PermitSocial Service LicensesScrap Tires or Byproducts (250 or more)
7. Business Name*
8. Business Address*
10. City*
11. State
12. Zip Code
14. Contact Person*
15. Phone Number*
17. Email Address*
19. Location?*
21. You chose a type of Fireworks Permit. You must list supplier name and contact information*
23. Please list any additional information here
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field