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Permit No. : • 05 - 141- g$ or pickets up: <br /> CITY OF ORONO <br /> P.O. Box 66, Crystal Bay, MN 55323 <br /> Notice shall be given to the police department prior to burning- 544-9511. <br /> Expires after 30 days from date issued. <br /> OPEN BURNING PERMIT <br /> SITE ADDRESS: 3 31k ) (l.4 Sj: DATE: 9 -rgibce <br /> D �'4Nf"f <br /> Name: ��-�'(Uz' �� l�lCH /LPhone:*5-c_2UQ27(h) c( [i' - <br /> q-S cU (o) <br /> Mailing Address: WE5Tefir- ' City: / (/j <br /> Agent (if applicable) : <br /> FOR THE PURPOSE OF BURNING 4()01,31/) / 7 S <br /> This application for open burning wilbe 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 /> $100.00 annual fee. ) <br /> Signature <br /> Approved by: Inspected by: <br /> d)-U nAnrCkA-- Date: S' - / 2 --8S- <br /> Inspectors <br /> F$S-Inspectors Comments: t .K ;p2 p4) NV Q L A K l= <br /> Fire Department: Long Lal4.2) Maple 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 FOLLOWING ITEMS 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 charge per re- <br /> inspection): <br /> 1. Street address must be posted and visible 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. If piles are not easily found and no one will be home, you must draw a map on back <br /> side of permit application locating the burn pile. <br /> 4. If these conditions are not met, the permit will be denied and you may not apply for <br /> another permit for 30 days. <br /> 5. Read all conditions on backside of permit before burning. Violations of these <br /> conditions may result in the issuance of citations and permit may be revoked. <br /> ALL SITES WILL BE INSPECTED before issuance of burning permit, subject to <br /> availability of staff time. <br />