Burn Permit

Before completing this application please review the Township of Cavan Monaghan's Open Air Burning By-law No. 2015-36.

Last name:

First Name:

Business Name (if applicable):

Purpose:

Brush

Campfire

Will you be using an approved device to burn?

Yes

No

Applicant Type:

Owner

Tenant

Location of Burn

Street No:

Street name:

City/Town:

Postal Code:

Concession No (if known):

Lot No (if known):

Access Route (if known):

Is the mailing address the same as the location of the burn?

Yes

No

Phone No:

Cell/Other Phone No:

Email:

Material to be burned:

Means of extinguishing the fire:

I have read, understood, and will abide by all conditions as set out in By-law No. 2015-36.

Yes

No

Signature of applicant (Please provide a signature using your mouse or screen if you have a touch screen):

Clear