Bushfire Prepare - Burn Plan form

Step 1 of 4

Supplementary information for permit to burn (burn plan)

This plan forms the primary conditions of your fire permit, it is not valid until approved by the Fire Permit Officer and the permit has been issued. This plan must be retained by you and you must be able to produce this plan and your fire permit upon the request of an authorised officer at any time during the duration of the fire. A copy of the plan must be provided for the permit officer. Upon the commencement of the Fire Danger Period or declaration of a day of Total Fire Ban your permit is revoked. If your fire is alight you must take immediate steps to stop it spreading and extinguish it.

A: Applicant details

Name

B: Location of planned burn

Address
Is the location?
Is the property subject to any overlays/conditions/covenants which would prevent the issuing of a permit to burn?