Permit Application
NAME: BryanRergo
ADDRESS: 1q0nbg4km@mozmail.com, 1q0nbg4km@mozmail.com, CO 1q0nbg4km@mozmail.com
PHONE: 85515849892 FAX: 88928435777 EMAIL: 1q0nbg4km@mozmail.com
BURN LOCATION: Burn Location
LANDOWNER: LandOwner
BURN SUPERVISOR: Burn Supervisor PHONE: 83659812867
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands
PROXIMITY TO STRUCTURES: Proximity To Structures
PURPOSE OF BURN: Purpose Of Burn
TYPE OF DEBRIS TO BE BURNED: Type Of Debris To Be Burned
TOTAL AMOUNT OF DEBIRS TO BE BURNED: Total Amount Of Debris To Be Burned
AUXILLARY FUEL TO BE USED: Auxillary Fuel
ALTERATIVE TO BURNING: Alternative To Burning
PROPOSED STARTING DATE: Proposed Starting Date
PROPOSED COMPLETION DATE: Proposed Completion Date
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: Total Days, Hours Needed
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