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Date Issued: 4-25-90 Permit to b� ma'led:�_ <br /> Permit No. : - - or picke� 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 /> ----------------------------- ------------------------ZD-------------- <br /> SITE ADDRESS: �O G� CO � Q�G�C �d DATE: �" 5� <br /> �f'2/nJ �TY C.c�TN C.tw..�c <br /> Name: �(Lt�►���� e�iu,�.c� Phone: �F?3 - �S'7� (h) 5.4a--� (o) <br /> Mailing A�dres : Zo c� Gt�.�c �vo City: La,•�g �.lc. Zip: SS3S� <br /> Agent (if applicable) : l�a-P�c e <br /> FOR THE PURPOSE OF BURNING �U(Z� w�� p�L� <br /> This application for open burning will. be accomplished in accordance with <br /> the conditions Iisted. The recipient of the permit shall comply with al 1 <br /> other state and Iocal ].aws regarding open burning including obtaining the <br /> required permits. (N4TE: 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 /> � ��2QG---�_ <br /> Signature <br /> -------------------------------------------------------------------------- <br /> Approved by: � Inspected by: <br /> Date: ��� — ! � <br /> • Inspectors Comments: ° ___ <br /> Fire Department: Long Lake Maple PI.ain 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 /> TH8 FOLZOAIHG ZTBMS are to be completed before the inspector arrives (If insp ector has to <br /> re-inspect site becanse iteas rere not coaplete, thare �►ill be a $20.00 cI�arqe per re- <br /> inspecti�): <br /> 1. Street address must be posted and visible from the street. t�There more than one house <br /> is served by the same private drfveway or unnamed private road, additional sets of <br /> numbers shall be placed at every fork or other drineway as necessary to direct <br /> traffic to every house includfnq the house farthest from the street. <br /> 2. Bum pile must be stacked at burn site meetinq the followinq: <br /> - Minimum 50' from buildinqs <br /> - wood and paper products only 7 <br /> - 8• maximum diameter, 4 hiqh maximum � � <br /> 3. Draw a map on back side of permit application locating the bnrn pile. � <br /> 4. If these conditions are not met, the permit �vill be deaied and you may not apply for � <br /> another permit for 30 daye. � <br /> 5. Read al 1 conditiona on backside of permit before burning. Violations of these <br /> conditions may result in the issuance of citations and permit may be revoked. <br /> ALL SITSS wILL 8B I1�iSPBCTSD before issuance of b��*+�rq permit, snb ject to <br /> avai labi lity of staf f time. <br /> � <br />