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Date Issued: 05/08/89 " Permit to be mailed: permit No. . 05-159- .e ; yS ...A..-4 m or picked up: „,-,- ' CITY . - CITY OF ORONO P.O. Box 66, Crystal Bay, MN 55323 Notice shall be given to the police department prior to burning- 544-9511. Expires after 30 days from date issued. OPEN BURNING PERMIT SITE ADDRESS: 1 .)- ° 3 °La C ri 5- ret DATE: , pP`/ Name: im-IZA'FT-- Phone: / 1-5-'7(4)/71-- 0 (o) Mailing Address : 3-(:4 .3 1.4510, 0a-Z-;‘, City: wa-y -z Zip: 5-s1,/ Agent (if applicable) : -- FOR THE PURPOSE OF BURNING 4 /'i.t - e"'{'/ 4 This application for open burning will 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) will be charged a $100.00 annual fee. ) /� / /L vv, //1-e Signature Apprdlved by: Inspected by: x :7711)-4L4 -...j , � Date 5 —47-Insptors Comments : / Fire Department: C.1=c Laked Maple Plain Mound Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. Fire Department THE FOLLOWING ITEMS are to be completed before the inspector arrives (If inspector has to re-inspect site because items were not complete, there will be a $20.00 charge per re- inspection): 1. Street address must be posted and visible 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. If piles are not easily found and no one will be home, you must draw a map on back side of permit application locating the burn pile. 4. If these conditions are not met, the permit will be denied and you may not apply for another permit for 30 days. Violations of these 5. Read all conditions on backside of permit before burning. conditions may result in the issuance of citations and permit may be revoked. ALL SITES WILL BE INSPECTED before issuance of burning permit, subject to availability of staff time.