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Application Information
Company / Organization
*
First Name
*
*
Last Name
*
*
Mailing Address
*
*
Phone
*
*
Alt. Phone
*
Email
*
*
*
Legal Land Description
Quarter
NE
NW
SE
SW
Section
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Township
38
39
40
41
Range
1
2
3
4
21
22
23
24
25
26
27
28
Meridian
4
5
Rural Address
*
C & E Trail
HWY
RGE RD
RGE RD EXT
TWP RD
*
What are you planning to burn?
Unit
*
Feet (ft)
Meter (m)
Length
*
*
*
Width
*
*
*
Height
*
*
*
Material to be burned
Material to be burned
*
Other
*
Permit Information
Date of Burn
*
*
Burn Duration
*
1 Day
3 Days
7 Days
Other
Additional comments
*
Conditions and Regulations
*
Conditions and Regulations
No
Conditions and Regulations
Yes
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