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Recreational Burning Permit Lake Geneva Fire Department Fill in your information on the computer then print and apply signature, print name & date in pen before submitting to fire department. Name of Person: Burning Address: Phone Number: - - Amount received: $ $15.00 / fire $50.00 / year Dates of Burning: - - and or until - - (Use this format - mm-dd-yyyy) Ordinance No. 05-22 Section 30-3 Ban on Burning
(d) Exceptions
(e)
Portable Fire Pits Fees according to resolution No. 05-R56 Fire Pit Burning is $15.00 per fire or $50.00 per year It is the applicants responsibility to ensure that conditions are in accordance with State and Local fire regulations. Applicant's Signature: _________________________________________________ Print Name: _________________________________________________ Date: ______ - ______ - ________ COPY TO FIRE DEPARTMENT
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