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Date Issued : 9/17/90 ?ermit to be mai�ea: �@2Zitit NO. : �a_�o�_on O= picked up: CITY OF ORONO . P.O. Box 66, Crystal Bay, MN 55323 30 Minute notice shall be given to the police department prior to burning- 544-9511. Expires after 30 days from date issued. -------------------------------------------------------------------------- O P S N B II R N I N G P $ R M I T � ---------------------- ------------------------------------------------ , SITE ADDRESS: I ✓� �U � �s ��l �c� DATE: �I�/��U Name: � s - ��-a �-e � Phone: 72 -33 d'� (h) "3,�-��7 (o) Mailing A ress: �'� s T��.:1 � City: v ��li� Zip: ..s 3�5� Agent (if applicable) : FOR THE PURPOSE OF BURNING ,�'L�.�.� - This application for open burning will be accomplished in accordance with the conditions Iisted. The recipient of the permit shall compl.y with all other state and local I.aws regarding open burning incZuding obtaining the required permits. (NOTE: More than 5 times per year (for all organizations and i.ndividuals reqardless of tax status) will be charged a $100.00 annual fee. ) '% � � �'.�� Signature -------------------------------------------------------------------------- Approved by: Inspected by: ,i,,,._ _r � Date: / �-V Inspectors Comments: E'ire Department: Long Lake Maple Plain Mound Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. Fire Department TSB FOLLO�iIPG ITBMS 'are to be completed before the inspector arrives (If inspector has to ;e-inspect aite becanse iteas rere not cosplete, there wi.11 be a $20.00 ci�arqe per re- istspection): _ _ l. Street address must be posted and visible from the street. Where more than one house is served by the same private drineway or unnamed private road, additional sets of numbers shall be placed at every fork or vther driveway as necessary to direct traffic to every house includinq the house farthest from the street. 2. Burn pile must be stacked at burn site meetinq the fol lowinq: � � - Minimum 50' from buildinqa � � - Wood and paper products only - 8' maximum diameter, 4 high maximum � ; 3. Draw a map on back side of permit application locatinq the burn pile. �. If these conditions are not met, the peranit will be denied and you may not apply fer ' another permit for 30 days. ' ' 5. Read al I conditions on backside of permit before burninq. Violations of these i conditions may result in the issuance of citations and permit may be revoked. ! ALL SITES WILL BS INSPSCTED before issnance of burninq permit, snbject to t availability of staff time. �