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2. This Is An Application For A Burn Permit Within The City Limits Of Valley Center Kansas, Not The Actual Burn Permit. You Will Be Contacted By The Valley Center Fire Department In A Timely Manner After Submission Of This Form Between The Hours Of 7:00 AM To 7:00 PM.
4. First Name*
5. Last Name*
7. Address1*
9. City*
10. State*
11. Zip*
13. Phone Number*
14. E-Mail Address*
16. Are you the property owner?*

    1. Yes
    2. No
17. If no do you have permission to burn?*

    1. Yes
    2. No
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field