City of Bedford
Application for Commercial / Residential Burning Permit
Applicant Information
Applicant Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Burn Site Information
Burning times are 6:00am - 6:00pm only
Burn Overseer (if not the applicant listed above)
First Name
Last Name
Start Date
*
-
Month
-
Day
Year
Start of Burn Date
End Date
*
-
Month
-
Day
Year
End of Burn Date (maximum of 30 days)
Street Address of Fire / Burn
*
Bedford, IN 47421
Street Address Line 2
City
State / Province
Postal / Zip Code
Address Total Acres (must be 1 acre or more)
*
Size of Fire/Burn (Square Feet) (allowable is over 10'x10'x10' or over 1000 cubic feet)
*
Material to Burn
*
i.e. tree limbs, leaves, grass clippings
Nearest structure to the fire/burn site
*
List # of feet to nearest structure (must be minimum distance of 20'
I understand there is a cost of $100 (per 30 day period) once approved
*
Agreed
Applicant MUST CALL BEDFORD FIRE DEPARTMENT and notify them ON EACH DAY OF FIRE/BURN at (812)275-4544
*
Agreed
I understand that I assume all liability and responsibility for the fire/burn and any damages and/or injuries that might occur due to this fire/burn.
*
Continue
Continue
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