First Name
Burn Permit for Zip Code 96028
Last Name
Address of Burn Site
Street Name
If your street is not listed, and you live within Zip Code 96028, please visit your local agency, as you cannot obtain a permit online.
Street Number
Example: If you are burning at 1234 StreetName Rd, fill this line with "1234"
Mailing Address
Address
City
State/Province
Zip/Postal Code
Email
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Phone
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Type of burn permit requested
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Door Yard Trash
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