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. - 04/25/91 Pe=-.ni� to be �naiiec: /�_ <br /> 1a�� Issued: or pic:{ed up: <br /> ==T'-ni'- �'o. - - CITY OF OaONO <br /> P .0. Bcx 5 0' ► C=ystal 3a�, �?=� 55323 <br /> ;;0 Minu�e no�ice sna?1 be g�vez to the polic= depa�tment prior to burniag- <br /> 544-9511. <br /> Ex�ires a���= 30 days f-om date issued. <br /> -------------- <br /> ------------ <br /> ------------------- p S R M I T <br /> O P B N B U R N I N G ---------- <br /> ---------------------------- <br /> ---------^�---- / �' �% � <br /> .S �1�,�, DAT�: � - �.., - � I <br /> SITE ADDRESS: � � 0 � <br /> �� t _ / (h) (o) <br /> �_s.J,��c� ��e �� 5 0 4�l Phone:u--7 - "'�'' <br /> Name: �,i 'S\ .d.. US- _City: � v 2�,rt�. Z iP=�Q 1 <br /> Mailing Address: � � <br /> Agent (if applicable) : � <br /> FOR THE PURPOSE OF BURNING <br /> i Ry,�� tt�� cr. <br /> This application for open burning will be accomplished in accord�i�h WaII <br /> the conditions listed. The recipient �en hbu ning incl.ud ng obtaining the <br /> other state and local laws regarding oP ear ( f or a 11 <br /> required permits. (NOTE: More than 5 times per y <br /> orqanizations and i.ndividuals regardless of tax status) will be charged a <br /> $100.00 annual fee. ) <br /> ?ermits are issued for disposal of trees � � ���� � <br /> & brush only. Burning of garbage, SiQnature <br /> trash, leaves, etc is not al.lowed. ___________- <br /> --------------- <br /> �pproved by: Inspected by: <br /> , .�, ; ",��_ Date y-zs--y/ . <br /> ,, �.;��� � <br /> � � � ,..�. +¢,�...,. N� .sr�r•+� a�� 6�'�-c��' <br /> �%.7�- ,+^, r�A;:..`�>S ris�"(3 <br /> Inspectors Comments : � ��`2r...� <br /> � <br /> Wa zata <br /> Fire Department: Long Lake Maple Plain 'Mound� Y <br /> The Fire Department must sign this burning oermit if they will be doing the <br /> burning for the applicant. - <br /> Fire Department � � - <br /> THB FOLLOFTIPG ITBMS are to =s ree at ceosplet e theie rill be as$20.00 cfiarge per =eo <br /> re-inspect site becanse ite <br /> inspection): <br /> 1. Street address must be P �nate drivewaylorfunnamed private oade additicnal nsets�of <br /> is served by the same pr y te direct <br /> numbers shall be placed at evesY fork or other dri vewa as aecessarY . <br /> traffic to enery house inca�b�s ts �eeti q the foI�IIq. s�eet. <br /> 2, Burn pile must be stacked <br /> - Minimum 50' from buildinqs <br /> - Wood and paper products only <br /> _ g� maximum diameter, 4 hiqh maximum <br /> 3. IIraw a map on back side of permit application locatinq the burn pile. not apply for <br /> 4. If these conditions are not met, the permit will be deaied and you may <br /> aaother permit for 30 days. Violations of 'these <br /> 5. Read aIl conditions on backside of permit before bnrning. <br /> conditions maY re$uIt in the issuance of citations and=p�rm�-t m e�ten s�je� to <br /> �Z�a�lii y of staff�tiCm�e-� ��re issuance of b*— 4 P <br />