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Date Issued; 10/26/83 <br />Permit No.; ^ <br />Permit to be stalled; <br />or picked up; <br />CITT OP OROmS <br />P.O. Box 66, Crystal Bay, MN 55323 <br />Notice shall be given to the police department prior to burning- 544-9511. <br />Expires after 30 days from date issued. <br />OPEN BORHIHG PERMIT <br />/ ^ Cj r** I— / ^ /I ^ DATESITE ADDRESS; <br />f''C~^ Phone; , ^ (h) ^**^^6 ^(o)-- - ^ - - - —,Tr~ _ _ <br />Name: rJ_ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ <br />Mailing Address; //—/^rf.r2]City; <br />Agent (if applicable); <br />Zip; <br />FOR THE PURPOSE OP BURNING - - - ,_ _ _ _^_ _ _ __ <br />This application for open bdming will be accompixsned in accordance with <br />the conditions listed. The recipient of the permit shall 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 />organisations and individuals regardless of tax status) will be charged a <br />$100.00 annual fee.) <br />Signature <br />Approved by; <br />vJrMA <br />Inspectors <br />Inspected by; <br />t <br />ents; <br />Fire Department: Long Lake Maple Plain ^^Mound^^ Wayzata <br />The Fire Department must sign this bujnfing permit if they will be doing <br />burning for the applicant. / J ✓ / / <br />the <br />"Fire Department <br />THE FOtlOWIXC ITEMS ar* to b« complotod ^fore th« inspector arrives (If Inspector ha <br />fa-iBsp«ct site because Itcas were not cowplete, there will be a $20.00 charge per <br />8 to <br />F8- <br />le Str88t address most be posted and visible from the street <br />2e Bum pile BMSt be stacked at bum site meeting the following? <br />«• Minimum 50* from buildings <br />- Wood and paper products only <br />• 9* maximum diameter# 4 high maximum <br />3. It piles are not easily found and no one will be home, you oust draw a map on bacK <br />side of permit application locating the bum pile. ^ <br />4. If these conditions are not met, the permit will be denied and you may not apply to <br />another permit for 30 days. , , <br />3. Read all condltlona on baclcslda of permit before burning. Violations of tnase <br />conditions may result In the Issuance of citations and permit may be revokad- <br />nT.T. SITES HILL BE INSPECTED before issuance of burning permit, subject to <br />availability of staff time.