Boston Lot
Camping Permit
Applicant (must be at least 18 years of age):
Name: _____________________________________________________________________
Address: ___________________________________________________________________
Total Number of People Camping: ______
Home Phone: _____________ Work Phone: ______________ Cell Phone: _____________
Vehicle Information:
Total Number of Vehicles to be Parked in Lot Overnight: _____
Year, Make, and Model_______________________ License Plate #_________ State____
Year, Make, and Model_______________________ License Plate #_________ State____
Year, Make, and Model_______________________ License Plate #_________ State____
Campsite Desired:
Large Meadow (max 20) ____ Small Meadow (max 8) ____ Lakeside (max 4) ____
Beginning Date & Time____________________ Ending Date & Time__________________
Campfire__________ No Campfire_________
If a fire is desired, a Burn Permit must be obtained: https://lebanonnh.gov/318/Burn-Permits
Terms and Conditions:
• If a campfire is desired, the above-named applicant and associates shall be responsible for
adhering to all State and local requirements and regulations governing camp and cooking fires.
Fires shall not be started outside of designated fire rings and shall not exceed the limits of the
fire ring. Fire rings shall not be moved or tampered with. Liquid fuels shall not be allowed for
starting fires. The above-named applicant shall be in attendance of the fire at all times. All
fires must be completely out and cold before leaving the campsite.
• The above-named applicant shall be held responsible for any damages or litter found at the
campsite directly after the party vacates the premises.
• The cutting of trees is not allowed; however, dead branches may be used for fuel.
• The above-named applicant shall show an approved camping and/or fire permit upon request.
• The number of persons who may occupy the campsite at any one time under this permit is
limited to not more than the number stated above.
• Fire and camping permits may be revoked for violation of any rules set forth.
I have read the above terms and conditions and agree to them. I further release, absolve, indemnify,
and hold harmless the City of Lebanon and its staff and employees, in the event of any injury occurring
while camping on City lands.
Signature of Applicant: __________________________________________ Date: _____________________
Signature and Title of City Representative: __________________________ Date: ____________________
If you have any questions, please contact the Planning Office at (603)448-1457 or 51 N. Park Street,
Lebanon, NH 03766.
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