Burn Permit for Zip Code 96016

First Name

Last Name

Address of Burn Site

Street Name

If your street is not listed, and you live within Zip Code 96016, 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

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Email

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Phone

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Type of burn permit requested

Please check all that apply

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Door Yard Trash

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