Burning Permit Name* First Last Email* Phone*Location of Burn* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Material To Burn*Insurance CompanyPolicy #*Signature*I understand that this permit may be granted upon the express conditions that said owner and the contractors, agents, workers and employees, shall comply in all respects with the ordinances of the City of Vesta. The owner must contact the Vesta Fire Chief so they know of the burning date. All burning must be done in a safe manner with the proper weather conditions. The owner must have all hazardous materials removed before the burning is started. Signature