Grand Beach/Michiana Fire Permit

Grand Beach/Michiana Fire Permit
Name*

First NameLast Name
Grand Beach/Michiana Address*

Street Address

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Fire Date (good for 3 days)*

MonthDayYear
Date
Fire Location*
I agree that:

1. All Litter will be properly disposed of either by myself or my party.

2. No glass containers of any kind will be permitted on the beach.

3. No alcoholic beverages will be permitted on the beach.

4. No fireworks will be permitted on the beach.

5. Dogs (on leash) are permitted between the hours of 6 PM ET and 11AM ET.

6. All persons will be off the beach by 1AM ET.

7. Swim at your own risk.

All pursuant to the Ordinance of Villages of Grand Beach and Michiana.
Signature*

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