Burn Variance

Applicant Information

First Name

Last Name

Applicant Phone

Applicant Email

Street

City

Zip

Variance Specific Information:

Burning times are 6:00am - 6:00pm only

Burn Overseer (if not the applicant listed above)

First Name

Last Name

Length of Burn

Start Date

End Date (Max 30 days)

Street Address of Fire / Burn

Street

City

Zip

Address Total Acres (must be 1 acre or more)

Size of Fire/Burn (Square 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')

Reason for Burn

Agreement / Liability

I understand there is a cost of $100 (per 30 day period) once approved

Applicant MUST CALL BEDFORD FIRE DEPARTMENT and notify them ON EACH DAY OF FIRE/BURN at (812)275-4544

SIGNATURE: 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

Clear

Submit

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Variance Request of Burning Ordinance

City of Bedford, Indiana

Bedford City Hall