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RUSSELL COUNTY FIRE DIST. #5

 

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2010 Burn Permit

 

You will keep your same number from 2009, or receive your new 2010 burn permit number if you’re a new applicant, good for all of 2010 after application is processed. You will still need to call into Russell 911 Communications Dispatch at (785) 483-2121 each time you burn.

 

If you have any questions, please call 785-483-5100.  Thank you.   

Check if your information from 2009 is the same and then sign and date.:
2009 Burn Permit #: *
First Name: *
Last Name: *
Company:
Address Street: *
City: *
Zip Code: (5 digits)
State:
 
Birth Date:
Home Phone:
Cell Phone: *
Email:
Fax::
Is the burning location within ½ mile of Russell City limits?: *
Do you burn 10 + acres for CRP, range or pasture management?: *
Is the burning location within any other City limits?: *
Do you burn trash, waste, buildings, ditches, tree/brush piles?: *
Other ( Please Fill In Blank)


 

Please return completed form to Russell County Emergency Management 850 Elm Street, P.O. Box 158 Bunker Hill, KS 67626 or fax to 785-483-2303 or email to: russellcountyem@rfd5.org
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