Burn Permit Application

Please click here for a copy of Burn Permit Rules and Regulations.

Is your property inside the Centerville city limits?(Required)

Yes

Is this permit for Residential, Commercial, or Air Curtain Destructor (ACD)?(Required)

Residential/Recreational

Bonfire

Commercial

Air Curtain Destructor

Responsible Party Name(Required)

First Last

Phone Number(Required)

Email(Required)

Company Name

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date(s) of Proposed Burn(Required)

Please provide a comma separated list in MM/DD/YYYY format (e.g. 01/01/2023, 02/02/2023, ...)

Distance to Nearest Structure(Required)

Extinguishment / Containment Method(Required)

Questions / Comments

Signature(Required)

By checking this box you confirm that all the information you've provided is accurate and that you understand the information provided below.

By completing and submitting this form, the applicant understands and agrees to the rules and regulations regarding open burning. Even if you follow all of the guidelines for open burning, you may be required to extinguish the fire if it adversely interferes with another’s enjoyment of life, use of property, or if someone with a health problem is affected. During the burning period, local fire officials may prohibit open burning at any time when atmospheric conditions or local circumstances make burning hazardous. 𝗢𝗻𝗰𝗲 𝘁𝗵𝗲 𝗮𝗽𝗽𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗵𝗮𝘀 𝗯𝗲𝗲𝗻 𝘀𝘂𝗯𝗺𝗶𝘁𝘁𝗲𝗱, 𝗮 𝗳𝗶𝗿𝗲 𝗼𝗳𝗳𝗶𝗰𝗶𝗮𝗹 𝘄𝗶𝗹𝗹 𝗰𝗼𝗻𝘁𝗮𝗰𝘁 𝘆𝗼𝘂 𝘄𝗶𝘁𝗵 𝘆𝗼𝘂𝗿 𝗯𝘂𝗿𝗻 𝗽𝗲𝗿𝗺𝗶𝘁 𝗻𝘂𝗺𝗯𝗲𝗿. 𝗗𝗼 𝗻𝗼𝘁 𝗯𝘂𝗿𝗻 𝘂𝗻𝘁𝗶𝗹 𝗮𝗳𝘁𝗲𝗿 𝘆𝗼𝘂 𝗿𝗲𝗰𝗲𝗶𝘃𝗲 𝗮 𝗯𝘂𝗿𝗻 𝗽𝗲𝗿𝗺𝗶𝘁 𝗻𝘂𝗺𝗯𝗲𝗿 𝗳𝗿𝗼𝗺 𝗮 𝗳𝗶𝗿𝗲 𝗼𝗳𝗳𝗶𝗰𝗶𝗮𝗹.