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2. Notice

   Please submit your burn permit at least 24 hours before the burning takes place. Permits for weekend burns need to be submitted by Thursday at 4 p.m.

4. Materials to be burned:
6. Person responsible for burning first name:
7. Person responsible for burning last name:
9. Phone Number:
11. Address where burning will occur:
13. City:
14. State:
15. Zip Code:
17. Date/Time burning will begin
    Date/Time burning will begin

    Date/Time burning will begin
18. Date/Time burning will cease:*
    Date/Time burning will cease:

    Date/Time burning will cease:
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field