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Date Issued• 4/5/91 Permit to be mailed: l� Permit No. : � - - or picked up: CITY OF ORONO P.O. Box 66, Crystal Bay, MN 55323 30 Minute notice shall be given to the police department prior to burning- 544-9511. Expires a�ter 30 days from date issued. -------------------------------------------------------------------------- O P E N B II R N I N G P E R M I T -------------------------------------------------------- ------------- SITE ADDRESS: ,3,�•�i � (' �y ='J��y J ��C� DATE: y � "� :-�i 'ZNie�_ ' Name: P��' I �f��.-�� Phone: �/7 / - i�C �� (h) (o) Mailing Address: 3 �?'i 2yST � PI«� City: ,-a,�--�. �✓��%Zf1�y Zip: ��` ;/ Agent (if applicable) : FOR THE PURPOSE OF BURNING �'vr^�� •.� �^u �(,� This application for open burning wiLY be accomplished in accordance with 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) wil 1 be charged a $100.00 annual fee. ) Permits are issued for disposal of trees � & brush only. Burning of garbage, �,� Y��^--�M -� trash, leaves, etc is not allowed. Signature -------------------------------------------------------------------------- Approved by: Inspected by: r �k.(/�v�—� D a t e: Inspectors Comments : O:-t( — ,2U �►nKK ` C�CP S � Fire Department: Long Lake Maple Plain ound Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. Fire Department ' THS FOLLOiIING ITBMS are to be completed before the inspector arrives (If insp ector has to re-inspect site becanse ite=s vere not coaplete, there vill be a $20.00 charqe 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: � � - 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 wil 1 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 WII,L BE INSPBCTED before issuance of burning permit, subject to ' availability of staff time. � ( R