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SPECIAL CONDITIONS: Visit DNR Website for information & dates www.dnr.state.mn.us • DNR Burning Restrictions-Yearly from approximately April 1St for 4-6 weeks. Check DNR website for dates &conditions,as they can change depending on conditions. No Orono permits will be approved during the yearly burning restrictions time period. Recreational fires are still permissible under restricted conditions during this time period. DNR Burning Bans-Declared under extremely dry conditions. No burning of any kind is allowed during 16. : = rnin. Bans. _ . - A"°. 7_ro 1 i,'t•i u _• Is 1 CM•: re use, eaves, of s, rubber,plastics,tires,building materials and chemically treated mat such .s 1 rai road ties,treated lumber,composite shingles,tar paper,insulation,and composition board,sheet rock,wiring,and paint,hazardous a • industrial • •• — __. I AGREE: - Not to burn any prohibited materials. - Not to burn if there is a practical alternative method for disposal of material such as chipping or composting. - To use a clean burning device to start the fire. - Not to conduct burning during any air quality alert. - Not to burn paper or cardboard except as provided under Minnesota Statutes 17.135. - To have this permit available at the burn site for inspection. - That prevailing wind must be away from nearby occupied buildings and as far away from any highway or public road and controlled so as that a traffic hazard is not created. - To keep this fire under control and assume responsibility for all damages and costs that may result from burning done under this permit. - That fires will not be allowed to smolder without flame. - To provide a water supply and an adult to attend this fire until completely extinguished. - To extinguish the fire immediately if this permit is revoked. - That no material may be brought in to be burned from another site. This permit may be revoked should any or all of the following conditions exist: 1. A fire hazard exists or develops during the course of the burn. 2. A public safety hazard exists or may exist if the burn is implemented or is allowed to continue. 3. Any conditions agreed to have been violated. REVOCATION OF THIS PERMIT WILL RESULT IN A 6 MONTH MORATORIUM ON I UAN6 i : RN PERMITS TO THE APPLICANT OR FOR OPEN BURNING AT THIS PROPERTY. / winow- Si!n re fo (-7' 1-16 (, z 3i S I ATTEST,BY MY SIGNATURE,THAT I HAVE READ AND WILL COMPLY WITH CONDITIONS OF AND ANY ATTACHMENTS TO THIS PERMIT;AND THAT I AM THE LANDOWNER R HAVE PERMISSION OF T• LANDOWNER TO BURN AT THE ABOVE BURN SITE LOCATION. I ACKNOWLEDGE THAT VIOLATI LS OF PERMIT CONDITION , AY SUBJECT ME TO CRIMINAL AND/OR CIVIL ACTIONS AND/OR REVOCATION OF BURN PERM Y ' ' . - - .TU' a 1 _ MAP �' 0p rvMo ofe..4.O /Pel. . I V pw P 4,vt.t.„: :),.„-�v ' (LOSize )\iiii — h_i_A b-evY-S ,-1-1, b,- v 1 ,,,J -z___.- pI { _.S -b Ci\ Approved by: (.1 Inspected by: . /M.+ S Date: r6r✓` eWIOV fr�otti.6:tg0 n'14 ;.(�f,� $9%–,6 tor it. /0:4Q • items. !.a 'fo - -'- Inspectors Comments:' felq..9sro.1 re re vc,PFeona "IC�f146dr 611141/14... teLa'!1.'�,i...–O ` d a 6- / - `-o///o td a It r Lt I`S s'44j�1 r It ire Department: Long Lake Wayzata o t ee t-w,:A . This permit is valid for open burning as allowed and specified in State Statute 88.01 o ::. , ::. , :: • u'nn. Uni i -• ' • . ode,and local ordinances. The permittee is granted permission to burn the above described materials at the specified location during the dates isted above. I-( 1 t e..l in.-V-w w 1"..".4 -(-& r + 1�c /°4