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�a�� Issueci : `�� J1� yv -e-:,ti� �� :.2 ��.a' .�aa;� ?ermit No. : - - or pic�Ced up CITY OF ORONO P.O. Box 66, Crystal Hay, MN 55323 30 Minute notice shall be given to_ the police department prior to burning- ':��`=35�t`I: Expires after 30 days from date issued. --------------------------------=-�---------------------------------------- OPSN BIIlt';NING PERMIT - SITE ADDRESS-----OG(v -------�� ''�,`-------DATE:---/v �7�, 90---------- 4 Name: o�e►-j I�14d u �✓z Phone: ~�`�/-3�i�3 (h) ��3-9Sj� (o) Mailing Address: .�S�3" RJ�� K,� C:,c' . City: �v��►•�;� T-��.,.� Zip: .SSY�� Agent (if applicable) : " �� . FOR THE PURPOSE OF BURNING TRtc'�'$rG�4�✓��45 ' ` - ~ This application for open burning wi31 be accomplished in accordance with the conditions listed. The recipient of the permit- shall comply with all other state and local laws regarding open burning including obta�nizl�th� e required permits. (NOTE: More than 5 times per year (for aI'I �- orga.nizations and individuals regardless of tax status) will be charged a $100.00 annual fee. ) Signature --------------------------------------------------------- Approved by: • Inspected by: ' �r • Date: =nspectors Comments: :ire Department: Long Lake Maple P3.ain Moun Wa-yzata The Fire Department must sign this burning perinit if they will be doing the �urning for the appl.icant. Fire Department ..e�-i spect=s tebeca se iteas veie ntot cospletse theie vill be as$20 00 ci�arqe per re� iaspection): l. Street address must be posted aad visible from the stree� Where more than one house is served by the same private driveaay or unnamed pri.vate road, additional sets of numbers shall be placed at every fork or other dri veaay as aecessary to direct traffic to every honse includinq the house farthest from the street. 2, Burn pile mnst be stacked at bnrn site meetinq the fo1 lowiaq: - Minimum 50' from buildiags - �ood and paper prodncts onlp - 8' maximum diameter, 4 hiqh maximum 3. Draw a map on back side of permi.t application locating the bnra pile. 4. If these conditions are not met, the permit will be deaied and pou may not apply tor another permit tor 30 days. ' 5. Read al I conditioas oa backside of permit before bnrainq. violations of these conditiens may result in the issuance of citations and persnit map be revoked. �,L gITES WI?,L gg INSPBCTED before issnance of bar*±inq petmit� snbject to availability of staff time.