2. PLEASE FILL THIS FORM OUT TO REQUEST A BURN PERMIT.
   A REPRESENTATIVE FROM THE FIRE DEPARTMENT WILL CONTACT YOU ONCE YOUR BURN PERMIT REQUEST IS PROCESSED. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT OUR OFFICE 337-462-8929.
4. Preferred Burn Date
   Preferred Burn Date
5. First Name
6. Last Name
8. Address
9. City
11. State
12. Zip Code
13. Address of Burn
15. Daytime Phone Number
16. Brief Description of Items to be Burned
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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