Burn Permit Application

Pleasant Grove - Open Burn Permit Application

Contact Information

Name:
Mailing Address:
City:		State:		Zip:
Phone:	i.e. 801-123-1234
Email (optional):
	Burn Site Address the Same as Above
Burn Site Address:
Burn Site City/Area:		Burn Site State:		Burn Site Zip:
Acres:	Or Quantity of Materials to be Burned: lbs.
Description of What Needs be Burned:

Beginning Burn Date

When are you planning to start burning:

(i.e. 4/31/2013)