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2. Before completing this form, please review the Burn Permit page of the Town of Milton website for permit conditions and state statutes related to burn permits. If you do not understand the law or have further questions, contact Don Turner, Jr., Milton Town Forest Warden at 802-893-1419 before you burn.

4. First Name*
   The individual responsible for monitoring the burn must apply for the permit, not an organization or business.
5. Last Name*
7. Street Number and Name*
   Enter the physical location of the burn, no post office boxes accepted.
9. Phone Number*
   A valid phone number is required.
10. Email Address
12. Burn Date*
    Burn Date
    This permit is only valid for the date listed above. If you do not complete the burn on the date listed above you must apply for a new permit.
14. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date, and 4) you will follow all Town of Milton ordinances to complete a safe burn, and take responsibility for the control and extinguishing of this fire.

    1. I agree.
16. Electronic Signature
18. STAFF USE BELOW
    The following fields should be used if a staff member or firefighter is submitting this permit request on an individual's behalf.
20. Submission by Staff Member

    1. This form is being submitted by a Town of Milton employee or firefighter on behalf of the above named permittee.
21. Staff Member Initials
    If submission by Staff Member is checked please enter your initials in this field.
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field