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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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