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TestBurn

Name *Please enter your first and last name

Street Address *

Apartment, suite, etc

City *

State/Province *

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Exact Location of the burn if different from the address above.

Contact Phone Number *Number of the person we can contact regarding this permit

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Property OwnerProperty Owner’s RepresentativeRental

Your Relation to the Property OwnerPlease enter your relation to the property owner if you are not the owner.

I verify that I have received a copy of Ordinance 168-C, Outdoor and Open Burning in Kimball Township, and will fully abide by said ordinance. *

Yes

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Kimball Township

2160 Wadhams • Kimball, MI 48074
Phone: (810) 987-9797 • Monday – Friday, 8:00 am – 4:30 pm

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TestBurn

Please Check One: *

I verify that I have received a copy of Ordinance 168-C, Outdoor and Open Burning in Kimball Township, and will fully abide by said ordinance. *

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