Burn Permit Application Form

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CORPORATION OF THE TOWNSHIP OF NORTH DUMFRIES
BURN PERMIT APPLICATION: UNDER BY-LAW 2316-08
This is not a permit. Please ensure all applications are submitted 1-2 business days before the
intended burning to allow for approval. If applying by mail, allow more time. Permits will be
approved during regular business hours from 8:30 a.m. to 4:30 p.m. Permits will also still be
available at the Township Office during normal business hours.
The method in which you apply for the permit will be the method that the approved permit is
returned to you.
Name of Applicant:
Address of Applicant (Full address if applying by mail):
Telephone Number:
Fax Number (If applying by fax):
E-mail Address (if applying by e-mail):
Location/Address where burning:
Name of property owner where burning:
Date burning to be conducted:
Material to be burned:
Permits will be valid for two (2) weeks after approval, subject to conditions.
The township reserves the right to cancel the permit at any time.
Note: No applications will be accepted until 2 business days prior to expiry of current permit.
Check here to acknowledge that applicant has read and agrees to all conditions as
mentioned in the By-law. Failure to comply could result in a bill for service or a fine
as stated under By-law 2316-08.
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND AGREE TO COMPLY WITH THE GENERAL
REQUIREMENTS OF THIS PERMIT.
Applicant’s Signature
Date
Completed applications may be submitted as follows:
By mail to:
By fax to:
Township of North Dumfries Office
2958 Greenfield Rd., P.O. Box 1060
Ayr, ON
Township of North Dumfries Office, 519-632-8700
By e-mail to:
mail@northdumfries.ca
Or in person at:
Township of North Dumfries Office, 2958 Greenfield Rd, Ayr, ON
If you have any questions, please call 519-632-8800.
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