Town of Hudson, NH
Permit To Kindle Fire Authorization
Non-Property Owner
Prop
erty Owner Name(s):
Address:
Telephone Number:
Applicant:
Address:
Telephone:
I,
, give the above listed applicant
permission to obtain a Permit to Kindle Fire and to kindle a fire on my
property located at:
in Hudson, New Hampshire for:
The duration of the permit issued
o r
S tart Date to End Date
.
All burning to be conducted in compliance with all Town of Hudson,
NH and the State of New Hampshire laws, administrative rules and
regulations.
Signature of Property Owner:
Date of Application:
Limitations imposed by Property Owner:
This authorization form must be completed each time permission is granted.
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signature
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