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Date Issued: 10/17/91 Permit to be mailed: Permit No. : 1.0-372-91or picked up: CITY OF ORONO P.O. Box 66, Crystal Bay, MN 55323 ALL BURNS (evenings & weekends included) must be reported to the Orono Police Department during regular business hours and a minimum of 30 minutes before burning. 473-7710 (8:00-4:30, Monday-Friday) Expires after 30 days from date issued. -------------------------------------------------------------------------- O P E N BURNING PERMIT ------------------------------------n' � I---------- --T ----------- SITE ADDRESS: �`� " 90 a � DATE: (''o^ W`f`�' o 5tviaw PILI-It Name: � �C�� Nt(� Phone: `f7s- c4t� (h) 4_15-0 (o) Mailing Address: t,JWMVOWN City: zip: Agent (if applicable) : C. FOR THE PURPOSE OF BURNING (a( (-QS _1_:='o lc�� S`e �ibOflpr This application for open burning will be accompli ed in accordanchlwith the conditions listed. The recipient of the permit shall comply with all other state and local laws regarding open burning including obtaining the required permits. (NOTE: More than 5 times per year (for all organizations and individuals regardless of tax status) will be charged a $100.00 annual fee.) Permits are issued for the disposal of logs and for recreational fires only. Burning of garbage, trash, leaves, etc 74" - is not allowed. Signature Approved-by�-----------�----Inspected-by=-- - -----------Date:------------- Inspectors Comments: Ln,7 IVOYA D Fire Department: Long Lake Maple Plain Mound Wayzata THE FOLLOWING ITEMS are to be completed before the inspector arrives (If inspector has to re-inspect site because items were not complete, there will be a $20.00 charge per re-inspection): 1. Street address must be posted and visible from the street. Where more than one house is served by the same private driveway or unnamed private road, additional sets of numbers shall be placed at every fork or other driveway as necessary to direct traffic to every house including the house farthest from the street. 2. Burn pile must be stacked at burn site meeting the following: - Log disposal fires = Logs only - Minimum 50' from buildings 8' maximum diameter, 4' maximum height Recreational fires - Logs and charcoal only - Minimum 50' from buildings - 3' maximum diameter, 3' maximum height 3. Draw a map on back side of permit application locating the burn pile on your property. 4. If these conditions are not met, the permit will be denied and you may not apply for another permit for 30 days. 5. Read all conditions on backside of permit before burning. Violations of these conditions may result in the issuance of citations and permit may be revoked. ALL SITES WILL BE INSPECTED before issuance of burning permit, subject to availability of staff time.