Fillable Burn Permit Form Use this form to apply for a Burn Permit within the Municipality of Louise. <form-template> <fields> <field type="header" subtype="h1" label="Municipality of Louise " class="header"></field> <field type="header" subtype="h3" label="fina@louisemb.com 204-873-2591" class="header"></field> <field type="header" subtype="h1" label="Burn Permit" class="header"></field> <field type="textarea" label="Burn permit valid for two weeks only" class="form-control text-area" name="textarea-1608219768733" value="The permit is not approved until the Municipality of Louise office contacts them and confirms. "></field> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1608148674455"></field> <field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1608149417850"></field> <field type="text" subtype="text" label="Email" class="form-control text-input" name="text-1611169560704"></field> <field type="date" label="Date of Burn" description="Remember your permit, once approved will be valid for two weeks only." class="form-control calendar" name="date-1608234472228"></field> <field type="textarea" required="true" label="Burn Locations " class="form-control text-area" name="textarea-1608148703663"></field> <field type="checkbox-group" required="true" label="What is being burned" class="checkbox-group" name="checkbox-group-1608148805120"> <option value="Grass">Grass</option> <option value="Stubble/Crop">Stubble/ crop</option> <option value="Bush">Bush</option> <option value="Tree's ">Tree's </option> <option value="Municipal Ditch">Municipal Ditch</option> <option value="Other">Other</option> </field> <field type="textarea" label="Please explain &quot;Other&quot; if that was what you selected above" class="form-control text-area" name="textarea-1614178761251"></field> <field type="checkbox" required="true" label="Declaration of Applicant: I understand the conditions under which this permit is issued and agree to abide " class="checkbox" name="checkbox-1608148946530"></field> <field type="checkbox" required="true" label=" 1. Keep fire under control at all times " class="checkbox" name="checkbox-1608305983745"></field> <field type="checkbox" required="true" label=" 2. Bear responsibility for all property damage which may result from burning done under this permit " class="checkbox" name="checkbox-1608221461075"></field> <field type="checkbox" required="true" label=" 3. To fireguard the area as required under the terms of the Wildfires Act " class="checkbox" name="checkbox-1608221596834"></field> <field type="checkbox" required="true" label=" 4. Fire is surrounded by a minimum six-meter-wide strip of land free of inflammable material " class="checkbox" name="checkbox-1608221624866"></field> <field type="checkbox" required="true" label="5. To burn during daylight hours only and in accordance with the Province of Manitoba Crop Residue Burning Authorization (April 1st and November 15th) Enquiries 1-800-465-1233 " class="checkbox" name="checkbox-1608221687342"></field> <field type="checkbox" required="true" label=" 6. No fire to be lit with winds over 30 km/hr " class="checkbox" name="checkbox-1608221715307"></field> </fields> </form-template> Submit Submitting...
