HomeMy WebLinkAboutBurn Permi t- 8/02
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CALL 651-772-7930 NO MORE THAN 1 HO
PRIOR TO BURNING
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PERMITTEE INFORMATION
G PERMIT FOR stOTT COUNTY
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T'\.Jall or aMail
BURNING PERMIT CONDITIONS (Check those that apply)
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Name 'w
[J RUNNING FIRE (Grassland)
Size of Area in Acres
PILED MA T~L (Clean WQod)
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# Piles Approx. Pile Size
Address 6t:~s tt,;w:1i", .s+ /v-I!' .
City j} ItJ'r ~A.~ StateAzip.s::-G?
Telephone Number {,/2- 9~O~/b~1
BURN SITE LOCA TlON
Township jJ r/ ~ r Lit ~
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Address 68X's-ie7lAd}'" ~r A/r f'.
City !r/; r .LI/~ .
EFFECTIVE DATES:
DAILY HOURS:
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OR [J ALLDAY
.- At :"
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This permit is validfor open burning as allowed and specified i,:, Minn. Rules 7005.0705 to 7005.0805. MS f-16. Minn. Uniform Fire
I code, and local ordinances. The permittee is granted permission to burn the above described materials at the specified location
during the dates qnd times listed above.
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FIRE SAFETY AND AIR QUALITY REQUIREMENTS
I attest, by my signature. that 1 have read and will comply with the conditions of, and any attachments to this permit; and that 1 am the
landowner or. have permission of the landowner to burn at the above burn site location.
Date
Paid $25.00 permit fee ~ Check # J 0 lR;; hr Cl Cash
BURNPRMT
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ate
ReYioed 4.12.01