Date of application

Contact Information

Business, Organization, or Applicant's name:

Contact Name:

Address:

Telephone Number:

Cellphone Number:

Fax Number:

Email Address:

Please provide information regarding permit request and event location:

Type of Permit Requested: (Check only 1)

Contact the Fire Marshal's Office for the appropriate fee.

Bon Fire (1 day) Fireworks / Pyrotechnics (1 day) Blasting (30 day)

Agricultural Land Burn (30 day) Land Clearing Burn (30 day)

Details regarding the permits requirement must be filed when application is made and whenever requested by the Fire Marshal. It is the applicant's responsibility to satisfy all permit requirements, submit applicable fees with application, and ensure that conditions are in accordance with applicable State and Local fire regulations.