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2Le issued : 11/21/ Permit Lo ce ma, :.ec <br /> er-.nit NO. : I i_ag4-9p_ 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 prioi:.to but7iingjo <br /> 544-9511. <br /> Expires after 30 days from date issued. <br /> ------------------------------ <br /> --------- <br /> 0PiE' N BURtNING PERMIT <br /> SITE ADDRESS: 0 (N� (N� ?.a �U ----------DATE: <br /> 0-3/ <br /> d'ne �Ov1Y1S� Phone: 7! 3-�GGa (h) 7 �UO (o) <br /> Name: i �� ��' Zip: SSSS <br /> Mailing A r ss: <br /> Agent (if applicable) : <br /> FOR THE PURPOSE OF BURNING kJ(�USVI /��''�'� ? <br /> This application for open burning will be accomplished 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 including 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 /> Signatu <br /> ----------------------------------------- <br /> Approved by: Inspected by: <br /> Date <br /> Inspectors Comments: ' <br /> Fire Department: Long Lake aple Plain Mound Wayzata <br /> The Fire Department must sign this burning permit if they will be doing the <br /> burning for the applicant. <br /> Fire Department <br /> THE poLLowING IT33xs 'are to be completed before the inspector arrives (If inspector has to <br /> re-inspect site because items were not complete, there will be a $20.00 c1large per re- <br /> inspection): <br /> 1. street address must be posted and visible from the street. inhere 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 direct <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 burnpile. for <br /> 4. If these conditions are not met, the permit will be denied and you may not apply <br /> another permit for 30 dayso Violations of these <br /> 5. Read all conditions on backside of permit before burning. be revoked. <br /> conditions may result in the issuance of citations and permit may <br /> ALL <br /> aiSITES WILL <br /> I of stINSPECTED. amore issuance of burning permit, subject to <br />