Burn Permit Application

Applicant Full Name (First and Last)

Email address of appllicant

Phone of applicant

Address of applicant

Where is the burn site: 911 ADDRESS, LEGAL AND PROPERTY OWNER NAME REQUIRED

check all that apply:

I plant to burn paper products and brush (leaves, grass)

I plant to burn branches and tree limbs under 4 inches diameter

I plant to burn large tree limbs over 5 inches diameter

My burn pile or burn pit is greater than 10 ft x 10 ft x 6ft high

Describe burning materials

Date and time of request. BURN PERMITS ARE GOOD FOR THREE (3) CALENDAR DAYS-DATE ISSUED IS DAY 1

Month

Day

Year

Time

HoursMinutes

Signature

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BY SIGNING, I UNDERSTAND THAT I AM ACCOUNTABLE FOR THE CONTENTS OF THE FIRE AND CHECKING WEATHER/BURNING CONDITIONS. I UNDERSTAND THAT I COULD BE HELD RESPONSIBLE FOR NOT FOLLOWING OPEN BURN REGULATIONS AS NOTED IN THE DOWNLOADABLE BROCHURE OR IF THE FIRE GETS OUT OF CONTROL CAUSING DAMAGE TO ANY PROPERTY.

Complete the Applicant information:

Applicant must be at least 18 years of age
Applicant must be the registered property owner or authorized agent in writing

Brochure Open Fire Regulations

The following products may not be burned:
Tires
Paint
Asphalt products
Roofing Materials
Chemical Waste
Rubber
Coated Wire
Plastic
Combustible Cylinders
Aerosol Cans
Petroleum Based Products

Burn Permit Application

Complete the Applicant information:

Applicant must be at least 18 years of age

Applicant must be the registered property owner or authorized agent in writing

The following products may not be burned: Tires Paint Asphalt products Roofing Materials Chemical Waste Rubber Coated Wire Plastic Combustible Cylinders Aerosol Cans Petroleum Based Products

The following products may not be burned:
Tires
Paint
Asphalt products
Roofing Materials
Chemical Waste
Rubber
Coated Wire
Plastic
Combustible Cylinders
Aerosol Cans
Petroleum Based Products