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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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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field