Complete the following for a permit to burn off during the Fire Danger Period (Country Fire Authority Schedule 13 Permit)

Application to burn during the Fire Danger Period
*Mandatory
Applicants details
Surname *
First name *
Full address *
Postal address if different
Email address *
Phone - Business hours *
Phone - After hours *
Name of owner if different to applicant
Address of owner if different to applicant
Details of burn
Address of the burn *
Area size of the burn *
Reason for burning off during the fire danger period *
Describe the material to be burnt *
Preferred date of burn *	May 2012 M T W T F S S 19 30 1 2 3 4 5 6 20 7 8 9 10 11 12 13 21 14 15 16 17 18 19 20 22 21 22 23 24 25 26 27 23 28 29 30 31 1 2 3 24 4 5 6 7 8 9 10
Upload your burn plan showing the burn area of the property, neighbouring properties, dwellings, water points and vegetation. *
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The personal information requested on this form is being collected by Council for the purpose of evaluating Permits to Burn off during the Fire Danger Period. This information  will be used solely by Council for that primary or directly related purposes. The applicant understands that the personal information provided is for the purpose of evaluating Permits to burn off during the Fire Danger Period application and that they may apply to Council for access and/or amendment of the information.