Burn Permit Application

City of Dickson Fire Department

Application for Burn Permit
Name*

First NameLast Name
Contractors' Business Name
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Burn Permit Policies and Procedures
I have read and understand the City Ordinance on open burning and agree to comply with the ordinance. I also Understand that the City of Dickson, it's officials, employees and/or agents do not assume any responsibility or liability in the burning by issuance of this permit:
By checking the box I confirm I have read the Burn Permit Policies and Procedures
Signature*

Clear
Date

MonthDayYear
Please call 615-446-6331 on the day you wish to burn to receive your permit number.
Should be Empty:

City of Dickson Fire Department