Community Association Prescribed Burn Permit
Applicant Information
Name
Organization / Association
Contact Number
Email
Address
Burn Details
Location of Burn
Date of Burn
Time of Burn
Estimated Area (acres/hectares)
Purpose of Burn
Materials to be Burned
Special Precautions / Notes
Emergency Contacts
Fire Department
Local Authority
Other
Authorization
Applicant Signature
Signature
Date
Association Approval (Name & Signature)
Signature
Date