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2. First Name
3. Last Name
5. Address1
7. Address2
9. City
10. State
11. Zip
13. Type of Fire*

    1. Recreational
    2. Cooking
    3. Other
14. If Other-
16. Comments*

    Additional information regarding burn location

18. Signature*

    By typing my name in this form, I affirm the accuracy of information provided on this application. I understand that this constitutes a legal signature and confirms that I agree to the above terms.

    The following are requirements for outdoor fires at residential properties:

    • Application must be submitted and approved by the fire department and a site

    inspection performed by the fire department.

    • Size of outdoor fire shall be no larger than 3’ X 3’ and located in an approved fire pit or

    container with a screen covering the wood.

    • NO burning of wood pallets, construction debris, trash, garbage or similar articles is

    permitted.

    • Outdoor fires may not be located closer than 25 feet from any structure or combustible material.

    • Fire must be attended by an adult person at all times with a garden hose connected to a

    water supply or other approved fire extinguishing equipment.

19. Date
Leave This Blank:


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

    This field is not part of the form submission.

23. Submit

* indicates a required field