Permit Application
NAME: Applicant Name Bill Cordova
ADDRESS: Mailing Address 240 Camino Rosita cr, Mailing City Walsenburg, CO Mailing Zip 81089
PHONE: Phone 719-989-0321 FAX: Fax EMAIL: Email [email protected]
BURN LOCATION: Burn Location 240 Camino Rosita brush pile
LANDOWNER: LandOwner Bill Cordova
BURN SUPERVISOR: Burn Supervisor Bill Cordova PHONE: Supervisor Phone 719-989-0321
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands 3 miles
PROXIMITY TO STRUCTURES: Proximity To Structures 500 ft
PURPOSE OF BURN: Purpose Of Burn get fid of brush
TYPE OF DEBRIS TO BE BURNED: Type Of Debris To Be Burned branches
TOTAL AMOUNT OF DEBIRS TO BE BURNED: Total Amount Of Debris To Be Burned 8'×8'x8'
AUXILLARY FUEL TO BE USED: Auxillary Fuel none
ALTERATIVE TO BURNING: Alternative To Burning none
PROPOSED STARTING DATE: Proposed Starting Date 12-1-24
PROPOSED COMPLETION DATE: Proposed Completion Date 12-1-24
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: Total Days, Hours Needed 1
ADDITIONAL REQUESTS AND INFORMATION:
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