HomeMy WebLinkAboutBurn Permit - 3/02
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Call 651-772-7930 _
no more than 1 hour prior to burning .
BURNING PERMIT FOR SC
Name ~ feve I/rrt fJ?1( 1111
Address J-j J-- 7 rJ j,. 0 f /y ~ I. 1(/15:
City f)( /0 r /.q Ii StateJik:Zip
Telephone: Number c( ~;7- -9/{ 7- t( I ~;;z.
Cl PILED MATE
(Specify) ?/~t7 /1 ""'1717/
# Piles Approx. Pile Size 6Y ~
{
permit#~
OCall or'MMail
/7.
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PERMITTEE INFORMATION
BURNING PERMI
Cl RUNNING FIRE (Grassland)
Size of Area in Acres
BURN SIJ;E LOCA nON
Township, 7qme II? q///~
Address
SPECIAL CONDITIONS
S1?Jr,,'9 8 ( ~e;,. J~.... e;,F'-
s;.Z ,e V<).f'" ''''5 A-LL ~I); A J
City
From: M
From:
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AMlPM
To: M ID---2-N~
To:_AM/PM OR .3 ALL DAY
This permit is valid/or open burning as allowed and specified in Minn. Rules 7005.0705 to 7005.0805. MS fJ6, Minn. Uniform Fire
code, and {IJCal ordinances. The permittee is granted permission to burn the above described materials at the'spi!ctfied location
'during th .' d time' ve. ______.__________.__.______.___n__._______..____.______-_________
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FIRE SAFETY AND AIR QUALITY REQUIREMENTS
I AGREE:
. To keep this fire under control and to assume responsibility for all damages and costs that may result from
burning done under this pennit. '. .
. To attend this fire until completely extinguished.
. Not to bum if there .is a pra~tical alternative method for disposal of the material such as chipping or composting.
. To use a clean burnmg deVIce to start the fire.
. Not to conduct burning during any air quality alert.
. Not to bum pa}?er or cardboard except as provided under Minnesota Statutes 17.135.
. To extinguish the fire immediately ifthis penn it is revoked.
. To have this penn it available at the bum sIte for inspection.
. That prevailing wind must be away from nearby occupied buildings.
· That fires will not be allowed to smolder without flame.
PROHIBITED MATERIALS ARE: oils, rubber, p'lastics, tires and chemically' treated materials such as railroad ties
!reated.lumb~r/ composite shingles, tar paper, insulation, composition board, sheet rock, wiring, paint, hazardous and
mdustrial soha waste.
VIOLATIONS OF PERMIT CONDITIONS MAY SUBJECT PERMITIEE TO CRIMINAL AND/OR CIVIL
ACTIONS.
REUSE, RECYCLE, AND COMPOST
I attest, by my signature, that I have read and will comply with the conditions of, and any attachments to this permit; and that 1 am the
landowner or have permission o/the landowner to burn at the above burn site location.
Date
;) - I B -C)L
Date
Paid $25.00 pennit fee 11 Check # t/LfEf or 0 Cash
BUJU./PRMT.DOC
Revised 2-'-2000