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Date, Issued: 03/22/9Q Permit to be mailedz� <br /> or picked up: <br /> Permit No. : n�_n��_on C11.y OF ORONO <br /> P.O. Box 66, Crystalolice de artment rior t� burning- <br /> 30 Minute notice shall be given to the p P P <br /> 544-9511. <br /> Expires after 30 days from date issued. ____ <br /> ----------------- <br /> -----------------0 P B N ----8 II R N I N G-----p-$-R-M I-T---------------- <br /> SITE ADDRESS s �Y7� hD � � ���- DATE: „��02� � - � - <br /> � <br /> h ��� <br /> Name: Phone: lt l �a u ( } Zi �,� � <br /> Mailing A ress: y' P� <br /> � Agent (if pplicable) : <br /> FOR THE PURPOSE OF BURNING `M <br /> This application for open burning will be ac mplished 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 includin ea=t�forgall <br /> required permits. (NOTE: More than 5 times per y <br /> organizations and individuals regardless of tax status) will be charged a <br /> $100.00 annual fee. ) <br /> . . <br /> Signa re <br /> Approved by: Inspected by: <br /> � <br /> _ � �J Date: Z � <br /> Inspectors Comments: <br /> Fire Department: Long Lake Map].e Plain Mound Wayzata <br /> The Fire Department must sign this burning permit if they wil.l be doing the <br /> burning for the applicant. <br /> , Fire Department <br /> THS FOLLOiiING I�Kc nse it ms veie not c�pletee there will be asS20 OOnc�arge per reo <br /> re-inspect site be <br /> iaspecti.on): <br /> l. 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 /> numbezs shall be placed at A e�efhouse fa thest f omethe street eS3ary to direct <br /> traffic to every house includ q <br /> 2. Bum pile must be stacked at burn site meetinq the foI lowing: <br /> - Minimum 50' from buildings <br /> - Wood and paper products only <br /> _ g� maximum diameter, 4 hiqh maximtun <br /> 3. Draw a map on back side of permit application locating the burn pile. 1 for <br /> 4. If these conditions are not met, the permit will be denied and you may not app Y <br /> another permit for 30 days. <br /> 5. Read al 1 conditions on backside of permit before burning. Violations of these <br /> conditions may result in the issuance of citations and permit may be revoked. <br /> A7,,L SITES WILL BE INSPBCTED before issuance of burning permit, snbject to <br /> availability of staff time. <br /> I <br />