City of Bedford, Indiana

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Commercial Burning Permit Application
City of Bedford, Indiana

Please fill out the form below to submit a request for a Commercial Burning Permit.

Commercial Burn Permit - Applicant Information
Applicant Information:
Last Name First Name
Middle Name
Email Address Phone Number  
Street Address

Burn Overseer: (if not the applicant):
Last Name
First Name
Middle Name
Email Address Phone Number  

Commercial Burn Specific Information:

Tentative Dates of Fire/Burn:
Location of Fire/Burn:

Burning Times are between 6:00 A.M. and 6:00 P.M. only.
Size of Fire/Burn (Sq. Ft.):
Material to Burn:
Nearest Structure to the Fire/Burn (in Feet)
Cost $100 (per 30 day period) $:
Check #:

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.

Please Enter Name:
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Planning/Zoning Department
1102 16th Street
Bedford, IN 47421