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L c1 L�' 1 S 5 11 C Ll : `�� '"� ' " _ ,.,__..__ __ ._ _ , ,.,,,._ . <br /> Permit No. : n�-�ati-�n or picked�up:_ <br /> - CITY OF ORONO _ �� _ _ <br /> � �-. P.O. Box 66, Crystal Bay, MN 55323 . . . _.. <br /> 30 Minute notice shall be given to the police department prior to burning- <br /> 544-9511. <br /> Expires after 30 days from date issued. - <br /> -------------------------------------------------------------------------- <br /> O P B N B II R N I N G P E R- M I T <br /> --------------n—.—� ---------�--------,r�---------------:—TT--------------- <br /> SITE ADDRESS:��� S�4U c.,,OG� t`. �- DATE � l� � �O <br /> Name: e Phvne: �'I 7� `t� c n� SY 0 ?17 3 (o) <br /> Mailing A ress: p. City: hla�i�u�( Zip:s�l <br /> Agent (if appl.icable) : <br /> FOR THE PURPOSE OF BURNING �Q /� �'OC/-�r/)Y1u I I"'r✓o <br /> This application for open burning will be accomplished in accordance with <br /> the conditions l.isted. The recipient of the permit shall comply with all <br /> other state and 1.oca1 laws regarding open burning including obtaining the <br /> required permits. (NOT$: More than 5 times per year (for all <br /> organizations and individuals regardless of tax status) will be charged a <br /> $100.00 annual fee. ) <br /> O <br /> Signature <br /> ----------------------------------------------------------------- <br /> Approved by: Inspected by: <br /> � _ Date: �02 <br /> Inspectors Comments: <br /> Fire Department: Long Lake Maple Plain Mound Wayzata <br /> The Fire Department must sign this burning permit if they will be doing the <br /> burning for the appli�cant. <br /> Fire Department <br /> THE FOLZOiiING ITBMS are to be completed before the inspector arrives fIf ins ector has to <br /> re-inspect site becanse iteas rere not cosplete, tbere aill be a $20.00 c�arqe per re- <br /> inspection): <br /> 1. Street address must be posted and visible from the street. Where more than one house <br /> is served by the same prinate driveway or unnamed private road, additional sets of <br /> numbers shall be placed at every fork or other driveway as necessary to direct <br /> traffic to every house includinq the house farthest from the street. <br /> 2. Burn pile must be stacked at burn site meetinq the foI lowing: <br /> - Minimum 50' from buildinqs <br /> - Wood and paper products only <br /> - 8' maximum diameter, 4 high maximum <br /> 3. Draw a map on back side of permit application locating the burn pile. 1 for <br /> 4. If these conditions are not met, the permit will be denied and yon may not app y <br /> another permit for 30 days. - `. . _ <br /> 5. - Read all conditions on backside of permit before bnrning. Violatioris of these <br /> conditions may resnit in the issuance of citations and permit map be revoked. -- <br /> AT•T• SITES WILL B$ INSPBCTSD before issuance of bnr*+;�q permit, ._snbject to <br /> availability of staff time. _ <br />