Pine Island Fire & Rescue

Burning Permit

* = Required field!

Permittee Information

First Name:	*
Last Name:	*
Home Phone:	- *
Cell Phone:	( ) -
Email Address:
Home Address:	*
City:	*
State:	*
Zip:	*

Burn Site Information

Address:	*
City:	*
State:	*
Zip:	*
Needed if burning in rural areas
County:	*
Section:
Township:	*
Forty or Gov't Lot:
Fire #:

BURNING PERMIT CONDITIONS
Piled Materials:	Number of Piles:	Approx Pile Size:
Running Fire:	Size in Acres:

Special Conditions/Comments:

BEFORE submittin the application READ and UNDERSTAND the FIRE SAFETY & AIR QUALITY REQUIREMENTS!
If you have any questions contact Chief Patrick Pike at 507-208-2618 or email at patlpike@aol.com or pifire@pitel.net
By clicking submit you agree to the FIRE SAFETY & AIR QUALITY REQUIREMENTS AND ALL THE BURNING PREMIT LAWS & REGULATIONS!

Todays Date: \ \ *