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Senior/Disabled Defensible Space
Application for Service
*
Indicates required field
Name
*
First
Last
Address of property to receive treatment
*
Mailing Address
*
Qualification for service
*
65+ years
Disabled
Does the property have a habitable structure?
*
Yes
No
Phone number
*
Email
*
Yearly Income
*
Proof of income is required upon the visitation by the Program Coordinator
Comments
*
Provide any information about what you wish to have treated or why you would like the area treated.
All work through the assistance program will be accomplished by a contractor retained by Plumas Corporation for the Plumas County Fire Safe Council. The work will be completed as closely as possible to CA PRC 4291 requirements, with a per parcel cost not to exceed $1,500.
I accept that if I wish more work to be done than require by this code (beyond the 100 feet), or above the $1,500 PCFSC cap, that it must be done prior to or after this contract has ended so that work being completed by the PCFSC contractor can be inspected in a timely manner.
I accept responsibility for making PCFSC and hired contractors aware of and pets or dangers on my property and locations of property boundaries, septic tanks, leach fields, sprinkler heads or anything else that equipment may damage. I agree to the chips generated being left on my property.
I certify that the information on this form to be correct and true. All requirements in this application/contract will be followed if assistance is received from Plumas County Fire Safe Council/Plumas Corporation.
Based upon my income and the
co-pay chart
, I agree to pay my portion as determined by the accepted bid to Plumas Corporation for all defensible space work that is completed by PCFSC.
Submit
Home
Calendar
About Us
Meet the Staff
Board of Directors
Meetings
Press Releases
Assistance Opportunities
Application for Services
Senior Disabled Assistance
Chipping
Plumas Underburn Co-op
More Information
Fire and Emergency Preparedness
Living with Fire
Understanding Your Fire Protection
Personal Preparedness
Defensible Space
Wildfire Evacuation
Animal Evacuation
Home Safety Fact Sheets
Insurance
Case Studies
Fire and Fuels Reduction
Firewise USA
Info For Contractors
Maps
Links & Resources
Wildfire Planning Documents
Contact Us
Recognition Program
Recipients