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STATE OF VERMONT
Department of Forests, Parks and Recreation

PERMIT TO KINDLE FIRE

Permit No. .............................. Date Issued..........................................20....

Permission is hereby granted to ................................................................................................
to kindle a fire in accordance with Vermont State Forest Fire Laws (10 V.S.A. Chapter 83 Section 2645) at........................................................................................................................
in the town of ................................on date(s)......................................20....

Special Written Conditions (if required by Warden)
..................................................................................................................................................
...................................................................................................................................................
I, the undersigned permittee, understand the law and my responsibility under this permit.

READ CONDITIONS ON REVERSE SIDE OF THIS PERMIT BEFORE BURNING

BACK OF PERMIT

This permit is granted under the following conditions:
  1. This Permit is valid only for place and time stated.
  2. This permit in no way relives the person to whom it is granted for any liability related to the fire or any damages it might cause.
  3. The person setting the fire must at all times have sufficient help and tools present to control the fire.
  4. Only natural wood material may be burned under this permit. Other materials burned require and Air Pollution Permit as well as this permit.
  5. The fire must not be left until it is entirely extinguished

IMPORTANT

If your fire escapes!
Call: 911
  1. Restricted materials cannot be used to ignite natural wood materials.
  2. Any special conditions written on this permit are to be considered as part of "conditions to burn".
  3. If any permit condition is not followed, then the permit is immediately invalid and you will be burning illegally.
  4. Violation of the conditions of this permit may result in the permitee receiving a "Vermont Fire Prevention Ticket" which result in court action and a fine for each day of the violation.
  5. If you do not understand the law or have further questions, contact your local forest fire warden before you burn. This permit may be canceled for cause at any time.

_________________________
Wardens Telephone Number

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