Application for Burn Permit

Use this form to apply for a burn permit for properties within the City of Victorville. Please fill out this form completely to submit to the Fire Prevention Division for processing.

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Permittee Information

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Permittee Information

First and Last Name	Phone Number	Email Address
Address	City	Zip Code
Burn Location Address (if vacant, enter parcel number)	City	Zip Code
Property Size (in acres)

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Burn Information - Please mark all that apply

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Burn Information - Please mark all that apply

Tumbleweeds

Piled Trimming Waste/Brush (tree trimmings no larger than 2" in diameter)

Agricultural Burn (if so, enter type of crop below) If other, type text here.

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Please mark each checkbox below, acknowledging you have read and agree to the following conditions and parameters of the burn permit.

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Please mark each checkbox below, acknowledging you have read and agree to the following conditions and parameters of the burn permit.

All material must be piled/stacked in a maximum size of 5’ X 5’ in such a manner as to promote drying and insure combustion with a minimum of smoke. For minimum drying times see Rule 444(C)(6)(b)(i-v).

Before ignition remove all trash, tires, oil filters, construction/demolition debris, plastics, rubber, motor vehicle bodies, tar, shop and household debris, etc., as provided in Rule 444 (C)(1) and (C)(6)(c).

Permittee must not burn during very hot, dry periods when winds are strong enough that burning would be unsafe.

The fire shall be attended at all times by a responsible person. Fire control tools, (shovel and water are required) must be on site and available until the fire is completely extinguished. (CFC 307.5)

All fires shall be confined within cleared firebreaks or barriers to prevent it from escaping control. If permittee allows a fire to escape, may be found civilly or criminally negligent or in violation of the law, and held liable for all fire suppression costs incurred by the Fire Department. (H&S Code §13009)

Permittee shall conform to all conditions of this permit and all applicable local and state rules and regulations. (Rule 444(C)(7))

Permittee shall curtail burning when informed by the issuing agency, or Air District, that such burning is causing, or contributing to the creation of, a public nuisance. (H&S Code §41700)

Issued permit must be in possession of the responsible person at the burn site during the burn.

If all conditions on the permit are not met, permit shall automatically terminate.

Permittee must call before burning to make sure it is a burn day. Burning Time is 0600 to 1200 hours. The fire must be completely extinguished by 12 noon.

CFC 307.4: The location for open burning shall not be less than 50 feet from any structure, and provisions shall be made to prevent the fire from spreading to within 50 feet of any structure and/or living vegetation.

There may only be one burn pile no more than 5’ x 5’, branches may be no larger than 2” in diameter and the burn pile should have a 50’ clearance.

Permittee must have a shovel and a water hose within 10-0’ of burn area.

It is incumbent on the permit holder to follow the directions of the burn permit and immediately extinguish any fire should the weather conditions change while burning (i.e. the increase of wind).

Make sure the fire is completely extinguished when burning is done. Douse with water and rake through the embers until the fire is completely out.

I understand I cannot burn trash/papers, tires, carpet, furniture, plastics, rubber, oil filters, construction/demotion debris, and household debris, etc.

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By entering my name below, I confirm that I own or legally control the above-described land and I agree to comply with all fire and air quality management laws, ordinances, regulations and terms of the permit.  I certify that I have read, understand and agree to comply with the conditions on this permit.  The information on this application is true to the best of my knowledge. 

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By entering my name below, I confirm that I own or legally control the above-described land and I agree to comply with all fire and air quality management laws, ordinances, regulations and terms of the permit. I certify that I have read, understand and agree to comply with the conditions on this permit. The information on this application is true to the best of my knowledge.

First and Last Name

Date

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