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SPECIAL CONDITIONS: Call 651-772-7930 no more than 1 hour prior to burning for DNR recorded message. <br /> (DNR Burning Ban Yearly - April 1st for a 4-6 week period, check dates. No Burns Allowed!) <br /> PROHIBITED MATERIALS ARE: refuse,leaves,oils,rubber,plastics,tires,building materials and chemically treated materials such as <br /> railroad ties,treated lumber,composite shingles,tar paper,insulation, composition board,sheet rock,wiring,paint,hazardous and industrial <br /> solid waste. <br /> I AGREE: <br /> Not to burn any prohibited materials. <br /> - Not to burn if there is a practical alternative method for disposal of material such as chipping or composting. <br /> - To use a clean burning device to start the fire. <br /> Not to conduct burning during any air quality alert. <br /> Not to burn paper or cardboard except as provided under Minnesota Statutes 17.135. <br /> To have this permit available at the burn site for inspection. <br /> 1 - That prevailing wind must be away from nearby occupied buildings and as far away from any highway or public road and <br /> controlled so as that a traffic hazard is not created. <br /> To keep this fire under control and to assume responsibility for all damages and costs that may result from burning done under <br /> this permit. <br /> - That fires will not be allowed to smolder without flame. <br /> To provide a water supply and an adult to attend this fire until completely extinguished. <br /> To extinguish the fire immediately if this permit is revoked. <br /> That no material may be brought into be burned from another site. <br /> This permit maybe revoked should any or all of the following conditions exist: <br /> 1. A fire hazard exists or develops during the course of the burn. <br /> 2. A public safety hazard exists or may exist if the burn is implemented or is allowed to continue. <br /> 3. Any conditions agreed to have been violated. <br /> REVOCATION OF THIS PERMIT WILL RESULT IN A 6 MONTH MORATORIUM ON NCE OF U', ING P RMITS TO THE <br /> APPLICANT OR FOR OPEN BURNING AT THIS PROPERTY. <br /> 1/ <br /> g <br /> Si nature <br /> I ATTEST, BY MY SIGNATURE, THAT I HAVE READ AND WILL COMPLY WITH THE 'CONDITIONS OF, AND ANY <br /> ATTACHMENTS TO THIS PERMIT;AND THAT I AM THE LANDOWNER OR HAVE PERMISSION OF THE LANDOWNER TO <br /> BURN AT THE ABOVE BURN SITE LOCATION. I ACKNOWLEDGE THAT VIOLATIONS OF PERMIT CONDITIONS MAY <br /> SUBJECT ME TO CRIMINAL AND/OR CIVIL ACTIONS AND/OR REVOCATION OF BURN PERMIT PRIVILEGES IN THE <br /> FUTURE. <br /> \ <br /> a,.1n <br /> 5!{'�. 0 (Lot Size /#3A ) <br /> o <br /> "pus e_ <br /> 14-111V <br /> Approved by: ' Ins a'•cted by: Date: <br /> Inspectors , ments: <br /> • <br /> Fire Dep • ent: Longe Excelsior Wayzata <br /> This permit is valid for open burning as allowed and specified in State Statute 88.01 to 88.22, 88.75, 88.76, Minn. <br /> Uniform Fire Code, and local ordinances. The permittee is granted permission to burn the above described materials <br /> at the specified location during the dates listed above. <br /> gores ti-Ave �l /NDw• t r t Ck2 S. ►Z,1�5 s; <br /> A-�'p �3-e 4((o,..)t,t9 7-5 -o 8 <br />