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SPECIAL CONDITIONS: Visit DNR Website for information www�.dnr.state.mn.us. <br /> (DNR Burning Ban Yearly - April lst for a 4-6 week period, check dates. No Burns Allowed!) <br /> PROHIBITED MATERIALS ARE: refuse,leaves,oils,rubber,plasrics,tires,building materials and chemically treated materials such as <br /> railroad ries,treated lumber,composite shingles,tar paper,insulation, and composition board,sheet rock,wiring,and paint,l�azardous and <br /> industrial solid waste. <br /> I AGREE: ' <br /> - Not to bum any prohibited materials. <br /> - Not to bum if there is a practical alternative method for disposal of material such as chipping or composting. <br /> - To use a clean buming 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 pernut available at the burn site for inspecrion. <br /> - That prevailing wind must be away from nearby occupied buildings and as far away from any highway or public road and <br /> controlied 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 this <br /> pernut. <br /> - That fires will not be allowed to smolder without flame. <br /> - To provide a water supply and an adult to attend this fire unril completely exrinb ished. <br /> - To extinguish the fire immediately if this perxnit is revoked. <br /> - That no material may be brought into be burned from another site. <br /> This nernut mav be revoked should anv or all of the following conditions exist: <br /> 1. A fue 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 condirions agreed to have been violated. <br /> REVOCATION OF THIS PERMIT WILL RESULT 1N A 6 MONTH MORATORIUM ON ISSUANCE OF BiJRNING PERMITS TO <br /> THE APPLICANT OR'FOR OPEN BLJRNING AT THIS PROPERTY. <br /> x �� - �-- <br /> , <br /> Signature <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 LANDO[�'NER OR HA VE PERMISSION OF THE LANDOWNER TO <br /> B URN AT THE ABOVE BURN SITE LOCATIDIV. I ACKNOWLEDGE THAT VIOLATIONS OF PERMIT CONDITIONS MAY <br /> SUBJECT ME TO CRIMINAL AND/OR CIVIL ACTIONS AND/OR REVOCATION OF B URN PERMIT PRIVILEGES IN THE <br /> FUTURE. <br /> MAP <br /> (Lot Size <br /> ��� � x <br /> < � <br /> � r � <br /> C � <br /> `s p ra <br /> L � � � <br /> a � � � <br /> rb <br /> N � <br /> (�� y <br /> f.- � <br /> X � <br /> h <br /> ! <br /> Approved by:_�.) Inspected by: Date: � — � — f� <br /> hzspectors Comments: <br /> FiYe Department: Long Lake Wayzata <br /> This permit is valid for open burning as allowed and specified in State Statule SS.OI to 88.22, 88.7�,88.76,Minn. Unifo►•m <br /> Fire Code, and loca!ordinances. The permittee is granted permission to burn the above described materials at the specified <br /> location during the dates listed above. <br />