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2. Please read the Rules and Regulations. Fill out the form and press submit to activate your daily permit.
4. 
6. Rules & Regulations
   Open Burning Rules and Regulations
8. First Name*
9. Last Name*
11. Street Address*
13. Email Address*
14. Phone Number*
    (No dashes)
16. I have read the Rules and Regulations and agree to follow them accordingly.*

    1. Yes
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18. 1. Receive an email copy of this form.
19. Email address

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20. Submit

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