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Date Issued: 09/11/87 Permit to be mailed: <br /> Permit No. : 09-280-87 or picked up: <br /> CITY OFr.',ONO <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 BURN ' G PERMIT <br /> SITE ADDRESS: Z-4' ) v eoc-\ ± DATE: I*" � \ ) i6B-7 <br /> Name: \ 41'1\4- 'i \W , wriy63 Phone: Aly'7j6-12 (h) (o) <br /> Mailing Address: 2_41-5ak1(Y) dh<LJer'J, City: 1 :CSY(TCCAYeJ Zip: <br /> Agent (if applicable) : <br /> FOR THE PURPOSE OF BURNING v`(OC Ck Sccr X \3 <br /> This application for open burning will La 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. <br /> �a effpb.,a. <br /> Siinature <br /> Approved by: A / Inspected by: <br /> uzids,stosn w <br /> lirregtr ate: - 14 g4 <br /> Inspectors Co ts: <br /> Fire Department on Lake 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: <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 <br /> draw a map on back side of permit application locating the burn pile. <br /> 4. If these conditions are not met, the permit will be denied and you <br /> may not apply for another permit for 30 days. <br /> 5. Read all conditions on backside of permit before burning. <br /> Violations of these conditions may result in the issuance of citations <br /> and permit may be revoked. <br /> ALL SITES WILL BE INSPECTED before issuance of burning permit, subject to <br /> availability of staff time. <br />