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Date Issued: n�i�/R� Permit to be mailed: <br /> Permit No. : 03-025-88 or picked up:�_ <br /> CITY OF ORONO <br /> _ � � P.O. Box 66, Crystal Bay. MN 55323 <br /> '' Notice shall be given to the police department prior to burning- 544-9511. <br /> Expires after 30 days from date issued. <br /> -------------------------------------------------------------------------- <br /> O P $ N B D R N I N G P $ R M I T <br /> ----------------------v ----------- --------------��--- ---------- ' <br /> . S I TE ADDRES S: �� UZQ �n 0 DATE:� - � '�� ' � � <br /> ' 'L �w�e�e n /L-/ . <br /> � Name: i 1 �� U '� � Phone�T ��- -��� �� i h) (o) <br /> : Mai ing ddress j/1Q p 5.�?�� �F_J��,��. ���� City:�i� Zip:��_�' �J� <br /> � Agent (if applicable) : __ <br /> FOR THE PURPOSE OF BURNING �,�� S �j <br /> i This application for open burning will be accomplished in accordance with <br /> � the conditions listed. The recipient of the permit shaZ I comply with al 1 <br /> other state and local laws regarding open burning including obtaining the <br /> required permits. (NOT$: More than 5 times per year (for all <br /> � orqanizations and individuals regardless of tau statns) will be charged a <br /> � $100.00 annual fee. ) <br /> � <br /> v <br /> ; Signa ure <br /> � Approved by: Inspected by: <br /> ; � <br /> Date: 3- �- S j' <br /> i <br /> ! Inspectors Comments: <br /> � <br /> ( Fire Department Long Lake Maple Plain Mound Wayzata <br /> � <br /> � <br /> i The Fire Departmen must sign this burning permit if they will be doing the <br /> ! burning for the applicant. <br /> ; _ . <br /> i <br /> ; Fire Department <br /> YHB FOLLOwIlf6 Is8M8 are to be completed befoz�e the inapector arrives (If inspector bas to <br /> re-inspect site bacanse itess vere not co�aplwte, tbeze vi 11 b� a $20.00 charqe per re- <br /> inspection): <br /> j1. Street address must be poste8 and visible from the street <br /> ; 2. Burn pile must be stacked at burn site meetinq the follovinq: <br /> - Minimum 50' from buildings <br /> ; - �ood and paper products only <br /> - 8' maximum diameter, 4 hiqh maximwa <br /> 3. If piles are not easily foun8 and no one aill be home, you must draw a map on back <br /> side of permit application locatfnq the burn pile. <br /> 4. If these conditions are not met, the permit Nill be denied and you may not apply for <br /> another permit for 30 days. <br /> 5. Read 811 conditione on backside of permit before burninq. Violations of these <br /> ' conditions may result in the iesuance of citations and perenit may be revoked. <br /> ALL SITSS WILL BB IHSPBCTED before issnance of bnrninq per�it, subject to <br /> � avai labf 1 f ty of staf f ti�e. <br />