Burn Permit Form

2. Contact Information

4. Name*

5. Email Address*

7. Address*

9. City*

10. State*

11. Zip Code*

13. Phone Number*

17. Burn Location

19. Burn Address*

21. City*

22. State*

23. Zip Code*

27. Electronic Signature*

    I have checked the Burn Area Map and am in an Open Area or Limited Burn Area. I understand that I am not eligible for a refund if I am in a No Burn area. Once your application is submitted, you will receive verification within 3-5 business days. Verified applications will receive a link for payment via email.

    1. Agree
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28. 1. Receive email copy
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field