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7. OPEN BURN PERMIT
   A burn permit is required for fires larger than six (6) square feet, with flames higher than three (3) feet. A permitted open burn pile must be no larger than 12 feet across. Permits for weekends must be applied for before 12:00pm on that Friday.
9. LOCATION OF PROPOSED BURN
11. Street Address*
13. DESCRIBE LOCATION OF FIRE ON PROPERTY-- please provide a brief description.*
    NOTE: The location of the burn shall not be within 200 feet of an occupied residence other than those located on the property on which the burning is conducted, or at the discretion of the Fire Chief or appointee.
15. SPECIFY DATES OF PROPOSED BURN*
    SPECIFY DATES OF PROPOSED BURN Start Date

    —

    SPECIFY DATES OF PROPOSED BURN End Date

    BURNING IS ALLOWED ONLY BETWEEN THE HOURS OF 12:00 P.M. AND 1:00 A.M. PERMITS ARE ISSUED FOR ANY THREE (3) CONSECUTIVE DAYS.

17. RESPONSIBLE PERSON
    The person conducting the open burning must be present at the burn site from the start of the burning until the fire is extinguished and must have a copy of the permit at the burning site at all times.
19. First Name*
20. Last Name*
22. Street Address *
24. City*
25. State*
26. Zip*
28. Email Address*
29. Telephone Number*
33. THIS PERMIT IS LIMITED TO THE FOLLOWING CONDITIONS:
35. Burn Pile Limitations
    Burn pile size must be no larger than 12 feet across. No burning in any place where there are standing or growing native coniferous trees or in areas of the ground from which natural coniferous trees have been cut. No burning in wetlands, or where there exists peat or peat roots.
37. Materials That May Be Burned Include:
    Raw, preferably dry, unfinished wood; trimmings, branches, and brush; NO STUMPS.
39. Materials That Must NOT Be Burned:
    Rubber, rubber products/tires, plastics of any kind • Treated lumber, railroad ties, utility poles • Chemicals of any kind • Household garbage waste • Tar containing products • Composition board • Construction materials • Wire and cable insulation • Hazardous waste (including household hazardous waste) including paint, used motor oil or other petroleum-based liquids • Furniture • Other items or materials as determined by the Fire Chief to not be appropriate.
41. Wind Speeds
    Wind speed must be below 10 M.P.H. while burning.
43. Fire Extinguishing Equipment
    Fire extinguishing means must be available at the burn site at all time and close to the fire. A garden hose with constant water supply is recommended. The fire must not be allowed to smolder and shall be completely extinguished when unattended.
45. Air Pollution Alert
    Any fire allowed by this permit must be extinguished within four (4) hours of a public air pollution alert announcement by the Minnesota Pollution Control Agency. This permit is subject to revocation at the discretion of a DNR Forest Officer, the local fire authority or the permit issuer if a fire hazard exists or develops during the course of the burning; or any of the conditions of the permit are violated.
49. Acknowledgement & Agreement*

    By checking the box below, I hereby certify and acknowledge: that I have read and examined this application; the information I have provided above is complete and accurate; and, I understand this is an application for permit and upon completing this transaction the Fire Chief or Appointee will conduct an inspection before the burning permit is issued. This application and any issued permit may become null and void if misrepresentation occurs or if the open burning has not been completed within thirty (30) days of the date of issuance. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law. The applicant is responsible for the consequences, damages, or injuries which may result while conducting this burn.

    1. I Agree
51. Electronic Signature*

    By checking the box below, the permitee agrees and acknowledges the electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. I Agree
53. Fire Official Approval:
    The open burning site listed on the permit was inspected to assure it met the minimum requirements of city and state fire codes. The Fire Chief or Appointee retains the right to deny or suspend any approved permit at any time the conditions are determined unsafe, are hazardous, or a nuisance.
57. ADDITIONAL CHARGES APPLY TO ONLINE TRANSACTIONS:
    Please note that in addition to the City Permit Fee and State Surcharge, the on-line payment system provider charges a 3.95% processing fee.
61. OPEN BURNING PERMIT
    Andover Fire Department
62. PERMIT FEE
63. Quantity
65. Shipping Cost
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66. Calculate Totals Proceed to Checkout

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