Resident's First Name
Resident's Last Name
Property Owner's First Name (if different than resident)
Property Owner's Last Name (if different than resident)
Street Address
Zip Code
10-Digit Telephone Number
Email Address
I have read and agree to comply with the Regulations For a Recreational Fire noted above:Yes
No
The proposed fire pit will be:In the ground
Portable
This Recreational Fire Permit application is:A NEW application
A RENEWAL application