2. DAPHNE FIRE BUREAU BURN PERMIT APPLICATION
3. 
5. Application Date*
   Application Date
6. Requested Burn Date(s)*
   Requested Burn Date(s) Start Date

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   Requested Burn Date(s) End Date
8. Applicant(s) Name*
10. Address*
12. City*
13. State*
14. Zip*
16. Applicant(s) Phone*
17. Alternate Phone
19. Applicant(s) Email*
21. Burn Address (if different than above):
23. Provisions
    1. This permit is not transferable and allows the burning of natural vegetation such as leaves, straw, and limbs.
    2. Uses of rubber tires or products which create a smoke nuisance are explicitly prohibited in any burning operation.
    3. Trash piles are to be kept at a minimum.
    4. Burn one pile at a time.
    5. Fire must be attended by a competent person at all times with means to control the fire, such as a water hose.
    6. Do not add any fuel to the fire after 5:00 PM.
    7. Do not burn when it is windy.
    8. It shall be unlawful for any person to burn leaves, limbs or any other matter upon the streets, sidewalks or alleys of the City of Daphne.
    9. Upon receiving a complaint of smoke nuisance, the fire shall be extinguished if the Fire Official deems it necessary.
    10. The fire permit shall be on the scene at all times.
    11. Extinguish the fire before leaving the scene.
    12. Fire location must be at least 50 feet from any structure and provisions shall be made to prevent the fire from spreading to within 50 feet of any structure.
25. Agreement

    By digitally signing below you are stating that you have received a copy of the Daphne Burning Permit Provisions established by the City of Daphne and agree to the terms stated in the provisions. Failure to comply with the provisions provided will lead to the termination of this permit.

27. Digital Signature*
28. Date*
    Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field