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Date Issued: ��',�A Permit to b� mailed: Permit No. . or picked up:� . �X;N .. . . . : - . . -: 0 6-2 41-9 0 _ CITY OF ORONO "- . _:.- : -.>_ . .. -.: . :, ; � P.O. Box .66, Crystal Bay, MN 55323 _,__ _. - 30 Minute notice shall be given to the:�p��o .ice department .prior to burning- � � 51,I� . Expires after 3�s f�om date issued. _ � -------------------------------------------------------------------------- O P E N B II R N I N G P E R M I T ------------------c--q-----j� ------------------------------------------ SITE ADDRESS: � �l ! � (1 ,�Qr1'`t" i"� l� i rv� �c-„J�DATE: � '� -�r� Name: n � ��ll ��S�T -� Phone: ��l �'-R � �! (h) �i oZy -�5(a� (o) Mailing A dress: , �f O o ' �. !7c m��feCity: � r� Zip:�S3l�y Agent (if applicable) : FOR THE PURPOSE OF BURNING �I P �-Y,. i� � This application for open burning will be accomplished in accordance with the conditions Zisted. 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 a 11 organizations and individuals reqardless of tax status) wil 1 be charged a $100.00 annual fee. ) (� , ,) . ,'1 �.--, i`` '-'---;- __- .�i -. - __, Sicjnature -------------------------------------------------------------------------- Approved by: Inspected by: ��k, �� Date:(q7-�tO Inspectors Comments: Fire Department: Long Lake Maple P].ain oun Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. -. Fire Department THE FOLLOTiiING ITBMS are to be completed before the inspector arrives (If inspector has to re-inspect site becanse items rere not co,plete, tbere rill be a $20.00 charqe per re- inspection): l. Street address must be posted and visible from the street. Where more than one house is served by the same prinate driveway or unnamed private road, additional sets of numbers shall be placed at every fork or other drineway as necessary to direct traffic to every house includinq the house farthest from the street. 2. Burn pile must be stacked at burn site meeting the fol lowing: - Minimum 50' from buildings - Wood and paper products only - - � - 8' maziwum diameter. 4 high maximum - - _. _ _._. , 3. Draw a map on back side of permit application locatinq the burn pile. � .== - 4. If these conditions are not met, the penait will be denied and you may not apply for - another permit for 30 days. - = - 5. Read all conditions on backside of permit before bnrninq. Violatioris of these conditions may result in the issuance of citations and permit may be revoked. � - � ALt SITES wII.L B$ II�iSPSCTBD before issnance ;of bnrninq permit, snbject to avai labi lity of staf f time. -- �