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a�2 issuea: o/ lt� yu L��.,,�� ,.� .,� .,,a��: , . =ermit No. : -9n or picked up:_ CITY OF ORONO _ .. - - :_- - - _ - . � ..: P.O. Box 66,. Crystal Bay, MN 55323 _ .�. - _ : . _ 30 Minute notice shall be given to the police department prior to burning- ;,,�__.� 'S44=9511. Expires after 30 days from date issued. -------------------------------------------------------------------------- O P $ N B II R N I N G P E R- M I T ----------------------------------_e----------DATE:-�-----Q�------------- SITE ADDRESS: %4��,. ,1.��%yl�' �t,V�� r(11,:� _ �' /�� /• /v10 i%;�i.Q ..S� �'e� tame: -^ ,r , 6^J� Phone: Y 7 a 4 i,�_�- (h) _s�`o -.�E 7 � (o) �ailing Ad ress: � ,�, ,�.,� __City: Zip: :�gent (if applicable) : �OR THE PURPOSE OF BURNING �/� cJ3� This applic,ation for open burning will be accomplished in accordance with the conditions listed. The recipient of the permit shall comply with a].1 other state and local ].aws regarding open burning including obtaining the required permits. (NOT$: More than times per year (for all organizations and individuals regardless o ax status) wi be charged a $I00.00 annual fee. ) � Sic�n ure � -- ---�--- -------=------------------ - -------------- -------------- �pproved b�: Inspected by: Date: Co Io2 Q Inspectors Comments: Fire Department: Long Lake Maple Plain Mound Wayzata The Fire Department must sign this burning permit if they will be doing the �urning for the appli�cant. Fire Department THS FOLLOfiING ITBMS are to be completed before the inspector arrives (If inspector has to re-inspect site becanse iteas rere not cosplete, there �rill be a $20.00 charqe per re- inspection): 1. Street address must be posted and visible from the street. Where more than one house is served by the same private driveway or unnamed pri.vate road, additional sets of numbers shall be placed at every fork or other driveway as necessary to direct traffic to every house includinq the house farthest from the street. 2. Burn pile must be stacked at burn site meetinq the fol lowing: - Minimum 50' from buildinqs - Wood and paper products only . : - 8' maximum diameter, 4 hiqh n�aximum - '�. Draw a map on back side of permit application locatinq the burn pi le. :. �-.. __. - � : --. - �#. If these conditions are not met, the permit will be deaied and you may not apply for another permit for. 30 days. . . . .----:� ., .. ._ :.__ .._.__ ._. . g. � Read all conditions on backside of permit before bnrninq. Violatioris 'of.these � conditions may result in the issuance of citatioas and permit may be revoked. _-�--- ALL ,SITES wII.L B$ INSPSCTSD before issnance of bnrning permit, _-sub7ect to `� �va�.lability of staff time. � � _.. .... . � - :. : ._. : - . . . :.._ _ . ., _ _ .._ . . , _ - - ==�°_.- --_ .. ..