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Name of <br />Property Owner <br /> <br />Mailing Address <br /> <br /> CITY OF RAMSEY <br />OPEN BURNING DISPOSAL PERMIT <br /> <br />Represented By: <br /> <br />Telephone(s) (W) (W} <br /> <br /> (H) (H) <br /> <br />Dale(s) of Burn Event(s) ! / to ! ! <br /> <br />General Reslrictions: (See olher side) Burn Event Safely Plan: (See other side) <br />Special Conditions; <br /> <br />OFFICIAL <br /> <br />Purpose __ <br /> <br />Preliminary Sile <br /> <br />600'1 I <br /> <br />Signature <br /> <br />USE ONLY .................................................. <br /> <br />A. Instruction & training <br />B. Elimination of fire or health hazard <br />C. Accepted agricultural, forest or game management practice <br />D. Ground thawing <br />E. Disposal of trees for development of lands and right-of-way or <br />malnlenance <br />F. Disposal of Diseased trees <br />G Disposal of building material generated by demolition of non-commercial <br /> or non-institutional structures <br /> <br />Inspection Date / / Approved I I Denied <br /> <br />Road-Highway Setback I I Bern Required I I <br /> <br />Dale / / <br /> <br />Final Material and Volume Inspection <br />Signature <br /> <br />10 Cubic Yards Minimum J I Minimum Fee Paid I I <br /> <br />I I Additional yards at $2.50/Cubic Yard Additional Fee Paid <br /> <br />Completion and restoration inspeclion <br /> <br />Signature <br /> <br />Date / / <br /> <br /> I I Date / / <br /> Date / / <br /> <br />SITE SKETCH <br /> <br /> <br />