State of Vermont - Agency of Natural Resouces
Special Use Permit & License Application

First Name:  
Last Name:  
Organization:  
Address 1:  
Address 2:  
Town:  
State:  
Zip:  
Email Address:  
Phone:  
Have you applied for a license with FPR in the Past?  
Please describe the activity or activities that you are requesting the license for:
Activity Locations:  
Please note the size of your group and any special requirements that this activity requires (parking, sanitary facilities, traffic control, special signing, medical services):
Please select all start and end dates of the events
Start Date End Date   Click item to remove date from list


Will any items be sold?  
If yes, list items and prices  
Will a fee be charged?  
 
If Yes, you must enclose documentation of your per-day client charge, registration fees, etc. by either writing below, or enclosing appropriate advertising materials, brochures, or a signed letter stating what the fees to be charged are and for what purposes. Be sure to explain how much of the fee, if any, is paid to others for long-distance transportation and lodging, and provide documentation of this.
Attach documents to the application by browsing to the document and clicking the [Attach] button