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2. Open Burning Notification
   Open burning is allowed from January 15 to May 01 between the hours of 10 am and 4 pm only. In order to burn on a given day, permit holders are required to notify the Medfield Fire Department by completing this notification form.
4. Permit Holder's Information
6. First Name*
7. Last Name*
9. Address*
11. Phone Number*
12. Email Address*
14. Permit Number*
    Enter your permit number here
16. Medfield Burn Rules and Regulations
    Open Burning Rules and Regulations

    Click here to view rules and regulations
18. Electronic Signature*

    By checking I agree, you agree and acknowledge Medfield's rules and regulations for a burn permit. Any violation of the rules and regulations may result in loss of a burn permit.

    1. I Agree
Leave This Blank:


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

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field