Permit - Authorization During Burn Ban

Notice*
No permit will be issued until $50.00 fee is recieved. Please make checks or money orders payable to "County of Henry" and send to: Henry County Fire Marshal's Office 1024 DuPont Road Martinsville, Virginia 24112
Applicant Name
Applicant Address Applicant Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Applicant Phone Number Applicant Phone Number - ### - ### ####
Applicant Email
Location of Burning Location of Burning
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact
Emergency Contact Phone Number Emergency Contact Phone Number - ### - ### ####
Notes