Fillable - Ecological Burn Permit Application (Village of Wauconda)

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- Ecological Burn Permit Application (Village of Wauconda)

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U.S.A. forms for Village of Wauconda

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EcologicalBurnPermitApplication Permit#:E______________
Applicant:____________________________________________________________________________________
Address:______________________________________________________Phone:
E‐Mail:________________________________________________________________________________________
LocationofEcologicalBurn:_________________________________________________________________
DateofBurn:________________________
► ACOPYOFTHEAPPROVEDIEPAPERMITANDACERTIFICATEOF
INSURANCEMUSTBEATTACHEDTOTHISAPPLICATION.
SignatureofApplicant:______________________________________________ Date:_________________
This application must be reviewed and approved by the Community Development
Director before the permit will be issued. Copies of the approved IEPA and Village of
WaucondaPermitswillbesubmittedtotheWaucondaFireDistrict.
ForOfficeUseOnly
BuildingDirectorAuthorization:_________________________________________ Date:_________________
Fee:$100
Check#:_____________________ Cash
PermitIssuedBy:______________________________ Date:_________________
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- Ecological Burn Permit Application (Village of Wauconda)

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Completed 17 July 2020

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