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Burn Permit Application Form

Fields marked * are required

*Name:

*Daytime Phone:

Home Phone:

*Burn Dates:

General open burns are typically conducted from 10/01/2008 - 03/31/2009
Start: (mm/dd/yyyy) End: (mm/dd/yyyy)

*Location of Burn Only one address per application is allowed.
Enter the site of the burn as applicable (address OR legal description OR subdivision):

Address:	City: Zip:
Legal:	1/4 1/4 Section: Township: Range:
Subdivision:	Name: Lot: Filing:
Helpful directions to this location:

Mailing Address (if different than above)

Address:
City:	State: Zip:

*Type of Material:

*Amount:

(Piles or Cu. Ft., etc.)

Email:

(if entered, all interaction will be by email)

Attach Accompanying Files

Optionally include photos, plans, etc., relating to your application. Click Browse button for each file to attach (up to 5).

Files:

Accessibility

Burn Permit Application Form