Bethalto Fire Department

                           Burning Permit

 

 

 

Date and time burning will take place _________________________________________________________

 

Burning permitted dawn to dusk only

unless otherwise approved

 

Name of person making request _______________________________

 

Address of where burning will take place _________________________________________________________

 

Phone Number ____________________________________________

 

Reason for/Materials to be burned _____________________________ _________________________________________________________

 

Signature of permit holder ___________________________________

 

Permit granted by __________________________________________

 

Date ____________________________________________________

 

cc:  Bethalto Police Department

     Bethalto Fire Department