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Name of Person/Company/Organization/Applicant:

Address, including civic address number:

Telephone:

Location of Open Air Burning (lot, concession, or plan number):

Former Township Name:

Time of Burning:

Date or Dates of Burning:

By virtue of signing this Application, the Applicant is indicating that they agree to abide by the terms and conditions as set out in By-law Number 14-2010, and further that the Applicant will always indemnify and keep indemnified the Township against all action, suites, claims, against all loss, costs, damages, charges or expense whatsoever which may be incurred, sustained, or paid by the Township in consequence of the Township of Georgian Bluffs granting permission to have an open air fire by way of this permit.

Please notify either the Inter Towship or South Bruce Peninsula Fire Departments before burning at:

South Bruce Peninsula Fire Department- (519) 534-1400
Inter Township Fire Department - (519) 376-9933

Signature of Applicant:

Clear

Open Air Burning Permit

A to Z Listings:

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