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2001-P04101 - attached deck
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2171 Shadywood Road - 17-117-23-42-0022
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2001-P04101 - attached deck
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Last modified
8/22/2023 3:41:16 PM
Creation date
9/26/2018 12:42:07 PM
Metadata
Fields
Template:
x Address Old
House Number
2171
Street Name
Shadywood
Street Type
Road
Address
2171 Shadywood Road
Document Type
Permits/Inspections
PIN
1711723420022
Supplemental fields
ProcessedPID
Updated
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� <br /> 1 <br /> Sec.13.04 RIGI3TS OF SUBJECTS OF DATA �" <br /> Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as ut for[h in this secaon. <br /> Subd.2. Information required to be given individual. An irMividual asked ro supply private or confidentia!data conceming himself <br /> shall be informed of: (a)the purpose and in[e�Med use of the requested data within the coilecting state agency,polidcal subdivision,or sratewide <br /> rysum:(b)whecher he may refuse or is legally required to suppty the requested data;(c)any lrnown consequence arising from his suppiying or <br /> refusing m supply privare or confidenaal dara;and(d)the idenary of other pecsons or endaes auchorized by sta[e or federal law ro receive rhe data. <br /> This requirement shall not apply when an individual is asked ro supply invesrigadve data, punuant to secdon 13.82, subdivision 5, to a law <br /> enforeement officer. <br /> 'Itu commissioner of revenue mav olace the norice reauired under thi subdivision in the individual income taz or�ro tax refund <br /> instructions mstead of on choss formc. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the <br /> subject of sWred data on individuals,and whether it is classified as public,private or co�denaal. Upon his further request,an individual who <br /> is the subject of stored private or public daa on individuals shall be shown the dara without any charge to him and,if he desires,shail be informed <br /> of the concent and meaning of that data. Aher an individual has been shown[he private data and informed of iu meaning,the data need not be <br /> disclosed to him for six mon�s thereafrer unless a dispute or acaon pursuant w this section is pending or addirional data on the individual has been <br /> collected or created. 'Ihe respor�cible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. <br /> The responsible au[horiry may require che requesting person to pay the actual cosu of making,cerufying,and compiling the copies. <br /> Tha responsible au[horiry shall comply immediately,if possible,wirh any request made pursuant to this subdivision,or withia five days <br /> of the dace of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request wi[hin that time,he shall so inform[he individual,and may have an addiaonal five days within which to comply with the request, <br /> excluding Samrdays,Sundays and legal holidays. <br /> Subd.4. Procedure when data is aot accurate or complete. An individual may contest the accuracy or completeness of public or <br /> private data co�eraing himself. To eze�ise this right,an individual shall notify in wridng the responsible authority describing the nature of the <br /> disagreement 'Ihe responsible authoriry shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and aaempt to noafy <br /> past recipiencc of inaccucate or incomplete data,including recipients named by the individual;or(b)norify the individual that he believes the data <br /> to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. <br /> The dererminadon of the responsible authoriry may be appealed purruant to the provisions of the adminis�auve procedure act relaang <br /> to contested cases. <br /> DATA PIZTVACY ADVI ORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your <br /> request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> (`'iC�Qf� 5 C�-F�c�C—f/�F-�I' <br /> F�rsc M�ddle <br /> Last <br /> ��.� �C.-,:�—:.��� ,l r.C�� t <br /> Address <br /> t�C7-f�1-JE 9� C`G�U c 2 � � `��Zr �CZ'C. C� ,� <br /> C�ry' Stace Zip Phone <br /> I understand my rights as stated above. <br /> �� � <br /> Signature " <br /> f <br /> 6 <br />
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