Bonfire Permit Request

Authorization Number:

Leave blank if you have not been issued authorization number in the past.

Name:

Phone Number:

( ) -

Email Address:

Street Address Line 1:

Address Line 2:

City:

Country and State:

Zip Code:

Number of People Attending:

For groups of 30 attendees or more you must get a 'Special Event' permit

Date of bonfire:

All permits start at 8 AM for the date selected and expire at 1 AM the following day

Locations:

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER: