Permit Application
NAME: Applicant Name
ADDRESS: Mailing Address, Mailing City, CO Mailing Zip
PHONE: Phone FAX: Fax EMAIL: Email
BURN LOCATION: Burn Location
LANDOWNER: Larry MOORE
BURN SUPERVISOR: Larry Moore PHONE: 719-742-5143
PROXIMITY TO PUBLIC LANDS: 4 miles
PROXIMITY TO STRUCTURES: 40 yards
PURPOSE OF BURN: get rid of slash piles
TYPE OF DEBRIS TO BE BURNED: pondrosa
TOTAL AMOUNT OF DEBIRS TO BE BURNED: 10 piles 4x4 ft
AUXILLARY FUEL TO BE USED: gasolene
ALTERATIVE TO BURNING: Moving piles
PROPOSED STARTING DATE: Feb 28
PROPOSED COMPLETION DATE: March 4
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: 8 hours
ADDITIONAL REQUESTS AND INFORMATION:
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