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:ate Issued : 5/8/91ctrrcf Permit to be mailed: ermi t No. : In, a , or picked up: 05-16,E-3_ C ORTVEEi'_ P.O. Box 66 , LfarBay,`�' MN 55323 30 Minute notice shall be given to the police department prior to burning- 544-9541. urning- 54•,•r—arm. (70. (7--LcjiI 0 Expires after 30 g si/ontl, te issued. OPEN BURNING PERMIT SITE ADDRESS : 1214 Wildhurst Trail, Orono DATE: �� X 4 ; ) 9/ lame: Gary or Sandra Welsh Phone: 472-6955 (h) S 544-7140 (o) Mailing Address: 1214 Wildhurst Trail City: Mound Zip: 55364 Agent (if applicable) : ?OR THE PURPOSE OF BURNING brush This application for open burning will be accomplished in accordance with :he conditions listed. The recipient of the permit shall comply with all ,)ther 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. ) /1.Z4 S • ature Approved by: Inspected by: Date: a 7h./ \ VA-0v S. dalInspectors Comments: Fire Department: Long Lake Maple Plain ( ou Wayzata The Fire Department must sign this burning permit if they will be doing the turning for the applicant. Fire Department "HE FOLLOWING ITEMS are to be completed before the inspector arrives (If inspector has to :e-inspect site because items were not complete, there will be a $20.00 charge per re- inspection): 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: - Minimum 50' from buildings - Wood and paper products only - 8' maximum diameter, 4 high maximum 3. Draw a map on back side of permit application locating the burn pile. 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.