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2. Name*
4. Email Address*
6. Fire Permit Number*
8. House number and street*
10. Phone Number*
12. Date and Time burning will begin*
    Date and Time burning will begin

    Date and Time burning will begin
14. Number of hours burning will occur: (12 hours maximum per notification)*

    1. 1 Hour
    2. 2 Hours
    3. 3 Hours

    1. 4 Hours
    2. 5 Hours
    3. 6 Hours

    1. 7 Hours
    2. 8 Hours
    3. 9 Hours

    1. 10 Hours
    2. 11 Hours
    3. 12 Hours
16. Accept Terms of use*

    This form is used by residents who have a current Annual Burning Permit for recreational open burning. The form MUST be completed and submitted at least 2 hours prior to having a recreational fire, failure to do so may result in penalties up to forfeiture of eligibility for the burning permit. Fraudulently using this form without a permit will result in a citation being issued for illegal burning.

    1. AGREE
    2. AGREE ANYWAY
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field