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Daze Issued: 9f,��qn Permit to be maiiea: -✓ <br /> Permit No. : �T�,�O c,�,-� (���� or picked up: <br /> CI OF ORONO <br /> P.O. Box 66, -Eay.,':~�MLy� 55323 <br /> :_._"-, <br /> 30 Minute notice shall be given to e police department prior to burning- <br /> 544-9511. <br /> Expires after 30 days from date issued. _ <br /> -------------------------------------------------------------------------- <br /> O P $ N B O R��F. l� l� 18� E R M I T •- .� <br /> --------------------/--7 ---------------------------------------------------- <br /> SITE ADDRESS: �'�d / "�T�,��.t�".c-� �aL l DATE: � ,�1 , /99 O <br /> ,1�u�,vu� do� .�v ,�r.�,2� ,o�.a��,�.�bQ�� <br /> Name: Phone: o (h) 3?/- .'�// (o) <br /> Mailing A dres 700 ���: .t��. � � lty: yir,c�y z,4.7-,� m/� Zip: �-S 3� � <br /> Agent (if applicable) : � <br /> FOR TIiE PURPOSE OF BURNING ��-�� � �.c� �L�u.�,n� - - <br /> This application for open burning will. be accoinplished in accordance with <br /> the conditions listed. The recipient of the permit sha3.1 comply with all <br /> other state and local laws regarding open burning including obtaining the <br /> required permits. (NOTE: More than 5 times per year (for all <br /> organizations and individuals regardless of tax status) will be charged a <br /> $100.00 annual fee. ) <br /> Sig ature <br /> -------------------------------------------------------------------------- <br /> Approved by: Inspected by: <br /> �, ' _ V <br /> '' Date: J <br /> Inspe tors Comments: <br /> Fire Departmen : ong Lake Maple Plain Mound Wayzata <br /> The Fire Department must sign this burning permit if they will be doing the <br /> burning for the applicant. <br /> Fire Department <br /> TH$ FOLLOitZPG ITSMS 'are to be completed before the inspector arrives (If inspector has to <br /> re-inspect site becanse iteas �rere not cosplete, tbere ri.11 be a $20.00 charqe per re- <br /> inspectioa): .. . <br /> 1. Street addreas must be posted and visible from the street. Where more than one house <br /> is served by the same private 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 lowiag: <br /> - Minimum 50' from buildinqs <br /> - Wood and paper products only <br /> - 8• maximum diameter, 4 hiqh maximum . <br /> 3. Draw a map on back side of permit application locating the bnm pile. <br /> 4. If these conditioas are not met, the permit will be denied and you may not apply fcr <br /> another permit for 30 days. ' ' : <br /> 5. Read al 1 conditiona on backside of permit before burninq. Violatioas of these <br /> conditions may result in the issuance of citations and permit may be revoked. <br /> AT�L SITSS WILL BE INSPBCTED before issnance of bnrninq permit, snbject to <br /> availability of staff time. <br /> i <br /> � <br /> � <br />