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i,; <br /> � <br /> Date Issued: - - . - Permit to b� maileds ' <br /> Permit No. :�� _ or picked up:� <br /> CITY OF ORONO - - <br /> P.O. Box 66, Crystal Bay, MN 55323 <br /> 30 Minute noticejshall be given to the police department prior to burning- <br /> :.544-9511. <br /> Expires after 30 days �from date issued. � <br /> ---------------- ----------------------- <br /> ' O P $ N B II R N I N G P E R M I T � <br /> ---------------- -------------------------------------------- <br /> SITE ADDRESS: Z SC'� r��S� C�" DATE: � - 1 ' c1 (7 <br /> � <br /> Vame: '��vw �� � Phone: 4� �O ��2-S (h) (o) <br /> :Hailing A ress: x � 2 City: C �uS+0.1 C� Zip: �3 <br /> �gent (if applic ble) : <br /> FOR TAE PURPOSE F BURNING S�-��U�s � �M��s�• ��e 5-1-�^.�-� <br /> This application for open burning will be acconeplished in accordance with <br /> the conditions I ' sted. The recipient of the permit sha31 comply with aIl <br /> other state and ocal Iaws regarding open burning in�luding obtaining the <br /> required permi s. (NOTE : More than 5 times per year (for all <br /> arganizations an individuals regardless of tax status) will be charged a <br /> $100.00 annual f e. ) <br /> ,-�'�� ��� <br /> � <br /> Signature <br /> •------------------------------------------------------------ <br /> °:pproved by: Ins ct d by: <br /> Date: � <br /> :nspectors Comments: ' <br /> -�, ��. , <br /> �ire Department: Long Lake ��- Maple Plain Mound Wayzata <br /> �__ ' <br /> �he Fire Department must sign this burning permit if they will be doing the <br /> burning f or the �.pplicant. <br /> ' Fire Department <br /> TH8 FOLLOiiING ITBM are to be .completed before the inspector arrines (If insp ector bas to = <br /> ze-3nspect site be anse iteas rere not co�plete• there �rill be a $20.00 charqe per re- ; <br /> : <br /> iaspection): , x <br /> 1. Street addressl�nust be posted and visible from the street. Where more than one house <br /> is served by tlbe same private drfveway 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 eve�y house includinq the house farthest from the street. <br /> 2. Burn pile must !,be stacked at bnrn site meetinq the fol lowing: <br /> - Minimum 50' from bnildinqs � - <br /> - Wood and paper prodncta on1Y <br /> - 8' maxia�um diamater, 4 hiqh maximum <br /> 3. Draw a map oa b�ck aide of permit application locatinq the burn pile. not a . 1 for <br /> 4. If these coadit ons are not met, the permit will be denied and yoa may PP Y <br /> another permit ',for 30 days. .: _ _ _ _ <br /> 5. Read al I coad tions on backside of ermit before burninq. violatioas of these <br /> P -. <br /> conditioas may eault in the issnance of citationa and permit maY be_=evoked. � = <br /> ..,. .... . . <br /> '�i.L SITES wILL B INSPBCTSD before issnaace of bnrainq permit, snbject to -. . <br /> ..�� � .,ti.: 1 ;,.., ..f itaff time_ <br />