| Filled in by | Permit Holder |
|---|---|
| Applicant Details | |
| Name | Samuel Johns |
| Fire Permit Authorisation No | 015051 |
| Section Number/s | 292 |
| Hundred | Tiparra |
| Location Details | Old Boundary Road, Between Heinrich & Tipraar West Chruch Road |
| Nearest Road | Boundary Road |
| Burn off type |
|
| Ignition Date | 21/02/2017 |
| Approximate Ignition Time | 11:00 AM |
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