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2. 
3. APPLICATION FOR FIREWORKS VENDORS
5. Company*
6. Representative*
7. Telephone Number*
9. Street Address*
10. City, State, Zip Code*
11. Alternate Phone Number
13. Sales Location*
14. Date of Sales*
15. Hours of Operation*
17. List types of fireworks to be sold:*
19. NE Fire Marshall License to Sell*
20. Certificate of Liability*
21. Ordinance 3025
    Banning Sky Lanterns Setting Rain Date for Fireworks
23. For Dumpster Rental contact the City Office for an application at 402-729-4078. NOTE: The Sanitation Department does not service other company dumpsters.
25. I/We understand the ordinances regulating the sales of fireworks in the city limits of Fairbury, Nebraska. I/We do not sell/dispense fireworks that have been deemed illegal by the State of Nebraska, Jefferson County, and Fairbury, Nebraska.
27. I/We understand that the application must be accompanied by a current liability insurance certificate to be considered valid. A peddler license will be presented after approval by the Fairbury City Clerk, and the appropriate fee(s) collected. All fireworks vendors will be inspected by the Fairbury Code Enforcement Officer during period of vending and are required to post State Fire Marshall License. Violation of safety regulations and/or ordinance will nullify licensing.
29. Applicant Signature*
30. Date of Application*
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32. Submit Submit and Print

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