Request A Burning Permit

Fields marked with * are required.
Name *		John Smith
Email *		joe@email.com
Street Address *		1234 S West St.
Burn Address *		1234 S West St.
Phone *		5176639111
Permit Type *	--RecreationalBrush
Date of Burn *	Sat 05/19/2012 Sun 05/20/2012 Mon 05/21/2012 Tue 05/22/2012 Wed 05/23/2012 Thu 05/24/2012 Fri 05/25/2012	01/01/2007
	I have read the ordinance and agree to comply. *

For questions please contact us at (517) 663-9111

Admin