Fill Out Form Below: Applicant First Name * Applicant Last Name * Applicant Street Address * Applicant Home Phone Applicant Cell Phone Applicant Email Address * Applicant Must Agree to Declaration Below: * I agree I declare that I am a resident of the address as entered on this form, that this property has a certificate of occupancy, and that I will abide by the conditions of the open burning process. Electronic Application is NOT the Permit * I understand An Open Burning Official will contact you to set-up an Inspection appointment. Appointments will be conducted Mondays through Fridays between 6 A.M. and 6 P.M. Upon a satisfactory inspection, an Open Burning Official will issue the required written permit. Every effort will be made to contact applicants in a timely manner. Leave this field blank
