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5 _ <br /> Date Issued: 10/10/cl Permit to or bemai led <br /> Permit No. : 10-358-91 picked p: <br /> CITY OF ORONO <br /> P.O. Box 66, Crystal Bay, MN 55323 <br /> 30 Minute notice shall be given to the police department prior to burning- <br /> 525-6210 <br /> Expires after 30 days from date issued. <br /> -------------------------------------------------------------------------- <br /> O P E N B U R N I N G P E R M I T <br /> ----------------------------- e-----------------_ Cep <br /> -- --------- ------ <br /> SITE ADDRESS: 4 ,66 Q%u7N (0 Aftd bnvE DATE: (3£2 /D 0 IC191 <br /> ll �� W,-re - S c4.SA4J <br /> Name: S E Phone: Y;73 (h) S q Y - 35 3 r (o) ~s <br /> Mailing Address: Q. /omi r►v-e City: Ct)&$2 .f„ Zip: 1-S32/ <br /> Agent (if applicable) : 'U14 <br /> FOR THE PURPOSE OF BURNING (?E c r-ra.trd r.a, I Cpm p�'�r•�, <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 /> Permits are issued for disposal of trees 1 � Q <br /> & brush only. Burning of garbage, = '` <br /> trash, leaves, etc is not allowed. Signature <br /> -------------------------------------------------------------------------- <br /> Approved by: Inspected by: <br /> ,q Date: <br /> Inspectors Comments: <br /> Fire Department: Long 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. t%= <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. Where 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 /> - Trees & brush only <br /> - Minimum 50' from buildings <br /> - 8' maximum diameter, 4 high maximum <br /> 3. 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 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 />