Permit Application
NAME: Mary Jensen
ADDRESS: 25863 State Highway 69, Gardner, CO 81040
PHONE: 719-746-2233 FAX: Fax EMAIL: [email protected]
BURN LOCATION: 25863 State Highway 69
LANDOWNER: Mary Jensen
BURN SUPERVISOR: Mary Jensen PHONE: 719-746-2233
PROXIMITY TO PUBLIC LANDS: Proximity To Public Lands
PROXIMITY TO STRUCTURES: 30' from shed
PURPOSE OF BURN: Clean up
TYPE OF DEBRIS TO BE BURNED: Slash
TOTAL AMOUNT OF DEBIRS TO BE BURNED: 2-8x8x8'
AUXILLARY FUEL TO BE USED: Auxillary Fuel
ALTERATIVE TO BURNING: Alternative To Burning
PROPOSED STARTING DATE: 6/1/2025
PROPOSED COMPLETION DATE: 6/5/2025
TOTAL DAYS, HOURS NEEDED TO COMPLETE BURN: 5 hours
ADDITIONAL REQUESTS AND INFORMATION:
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