Complete this form for a permit to burn.
Details of the main person who will be supervising the fire if different from the applicant
Please upload any photos or diagrams of the proposed to be burn (if possible)
I have taken / will take the following precautions to prevent the spread of fire:I have notified, or made reasonable attempts to notify, all adjoining owners or occupiers of my intention to apply for a Permit to Burn the Bush, at least 48 hours prior to submitting this application.In addition to obtaining a Permit to Burn the Bush, I understand that I must comply with Local, State and Federal Legislation when constructing fire breaks and burning vegetation.I understand that it is my responsibility to have checked with the Shire to ensure there is no local law restricting or prohibiting the lighting of fires prior to submitting this Application.I understand that I must have obtained permission from the Shire to light a fire, if required by local law, prior to submitting this application.I verify that there are no toxic and / or hazardous materials that will be consumed by the fire.I understand that if the fire escapes my firebreaks, I must report it immediately to 000 and take all reasonable steps to extinguish or control the fire until it is contained.I understand that I am required to have a current Permit to Burn the Bush in my possession while this fire is still burning; andI understand that the perimeter of the fire(s) is / are to be made safe and the fire patrolled until there is no longer any risk of the fire escaping.
Type the code from the image