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�aLe Issuea • oili7u rermiz Lo ne malyea: <br /> Permit No. : �- - - or picked up: <br /> CITY OF ORONO <br /> P.O. Box 66, Crystal Bay, -MN 55323 _ - <br /> 30 Minute notice shall be given to the police department prior to burning- <br /> 544-9511. <br /> Expires after 30 days from date issued. .. �� <br /> -------------------------------------------------------------------------- <br /> O P S N B U R N I N G P E R M I T <br /> ------------------------------------- ----------�----------------------- <br /> SITE ADDRESS:��G, Sc�SSt'����.- T DATE ����,��n <br /> �g c�Z� �'o�c .St - <br /> Name: �NC � e: �-.�d i�t' (h) �C�����7`�7J (o) <br /> Mai3.i g Address: �// City: Zip:^5��� <br /> Agent (if applicable) : <br /> FOR THE PURPOSE OF BURNING c i�(� � <br /> �i ►v �c�t�� ��h� `P���ev�� {z��rC'o�vs�r�c:��� asr��• <br /> This application for open burnincf will be accomplished in accordance with <br /> the conditions listed. The recipient of the permit sha3l comply with a1Z <br /> other state and local Iaws regarding open burning inc].uding obtaining the <br /> required permits. (NOTE : More than 5 times per year ( for all <br /> organizations and individuals regardless of tax status) will be charged a <br /> $100.00 annual fee. ) <br /> � � <br /> Signature <br /> -------------------------------------------------------------------------- <br /> Approved by: Inspected by: <br /> � " -c'( Q <br /> Date: S -3 r <br /> Inspectors Comments:��� O�l.� + <U/3SE��T � �G�s G/ST�d eN I'� <br /> Fire Department: Long Lake Maple Plain Mound Wayzata <br /> The Fire Department must sign this burning permit if they wiZl be doing the <br /> burning f or the applicant. <br /> Fire Department <br /> THS FOLLOflING ITSI�iS are to be completed before the inspector arrives (If insp ector has to <br /> re-inspect site becanse items vere not cosplete, there �+ill be a $20.00 charqe per re- <br /> inspection): <br /> 1. Street address must be posted and visible from the street. Where more than one house <br /> is served by the same private driveway or unnamed private road, additional sets of <br /> numbers shall be placed at every fork or other driveway as necessary to disec� <br /> traffic to every house including the house farthest from the street. <br /> 2. Burn pile must be stacked at burn site meeting the following: <br /> - Minimum�50' from buildings <br /> - Wood and paper products only � <br /> - 8' maximum diameter, 4 high maximum - - ' <br /> 3. Draw a map on back side of permit application locating the burn pile. � � � <br /> 4. Zf these conditions are not met, the permit will be denied and �you may not apply �o�-' , � <br /> another permit for 30 days. - " � ' <br /> 5. Read al 1 conditions on backside of permit before burning. Violations of �hes� � <br /> conditions may result in the issuance of citations and permiC may be revoked. � <br /> ALL SIT'$S WILL BS INSP$CTED before issuance of bnrning permit, 'subject to � � <br /> availability of staff time. _ <br /> .__ <br /> - ; :: :; - ' - � <br />