City of Bedford, Indiana



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Commercial/Residential Burning Permit Application
City of Bedford, Indiana

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


Commercial/Residential Burn Permit - Applicant Information
Applicant Information:
Last Name First Name
Middle Name 		 
Email Address Phone Number  
Street Address
City
State
Zip

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


Commercial/Residential 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 #:




Authorization
Authorization
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:
Security Verification

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Submit Application


Bedford Fire Department
1900 H Street
Bedford, IN 47421
812-275-4544
jhughes@bedford.in.us | thimmelspach@bedford.in.us