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Uate Issued: 7/18/91 Permit to be mailed: �( Permit No. : �or picked up: -0Z-274-91 CITY OF ORONO P.O. Box 66, Crystal Bay, MN 55323 30 Minute notice shall be given to the police department prior to burning- �-_. 525-6210 - . Expires after 30 days from date issued. -------=------------------------------------------------------------------ . O P E N B II R A I N G P E R M I T � --------------------------------�------------------ --------------- SITE ADDRESS: �O �J��f-�'r�-+` O� � DATE: � S' � Name: Phone: �'70� -('J� �l� (h) (o) Mailin A dress: ' City: Zip:�L � Agent (if applicable) : � FOR THE PURPOSE OF BURNING � /�.c,�.� ' This application for open burni g wil 1 be accomplished in accordance with the conditions listed. The recipient of the permit shal 1 comply with al 1 other state and local laws regarding open burning including obtaining the required permits. (NOTE: More than 5 times per year (for all organizations and individnals regardless of tax status) wil 1 be charged a $100.00 annual fee. ) Permits are---issued for disposal of trees . & brush only. Burning of garbage, � trash, leaves,` etc is not allowed. Signa e Approved by: Inspected y: _�� Date: Inspectors Comments: Fire Department: Long Lake Maple Plain Mou Wayzata The Fire Department must sign this burning permit if they will be doing the burning for the applicant. Fire Department — - .____ -- _______ __ --� __ THE FOLLONING I?$MS are to be completed before the inspector arrives (If inspector has to re-inspect site becanse itens �rere not complete, there rill be a $20.00 cbarqe per re- inspection): . 1. Street address must be posted and visible from the street. Where more than one house is served by the same private driveway or :unnamed private road, additional sets of numbers shall be placed at every fork or other driveway as necessary to direct traffic to every house including the house farthest from the street. 2. ' Burn pile mnst be stacked at burn site meeting the following: - Trees � bruah only - Minimum 50' from buildings - 8' maximum diameter, 4 high maximum 3. Draw a map on back side of permit application locating the burn pile. 4. If these conditions are not met, the penait will be denied and you may not apply for another permit for 30 days. , 5. Read al 1 conditions on backside of permit before burning. Violation•s of these conditions may result in the issuance of citations and permft may be revoked. ALL SITES WILL B$ INSPSCTSD before issuance of burning permit, snbject to availability of staff time. .