Laserfiche WebLink
- - � <br /> .��, Y� <br /> ��� ' CI�`Y o� ORONO <br /> �: <br /> Post Office Box 66•Crystal Bay, Minnesota 55323•Municipai Offices <br /> • <br /> � _ e � On the North Shore of Lake Minnetonka <br /> DATA PRNACY ADVISORY <br /> In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of <br /> data" , we would Iike to inform you that your request for a permit or <br /> license f rom the City of �ate or conf dential e nf rmationmay require <br /> you to furnish certain pr <br /> You are notified that: <br /> l. The information you furnish will be used to determine your <br /> qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that <br /> the City deny the permit or license. <br /> 3. The information may be shared with oth��r e scthe permit or <br /> federal agencies to the extent necessary to p <br /> license. <br /> 4, If your requested permit or Iicense requires Councii ac��or. <br /> to approve, some information may become public. <br /> 5. You have certain rights under M.S. 13.04 to review private <br /> data on yourself. <br /> 6 , Your full name is required to proc�ss this application or <br /> permit. <br /> � � <br /> � <br /> � � Middle ast <br /> First <br /> � <br /> � �� � � �� , ti�,,- < � <br /> Address <br /> � . <br /> `�e, ,,;�; ;� <br /> � ��l ����, :. -�� �� <br /> City� State Zip <br /> � � 1 `,� . i �/ <br /> Phone <br /> I understand my rights as stated above. <br /> - � ;� '�u``_ � -- <br /> Sig ature . � <br /> BUILDIYG&ZONING—473-7357 <br /> • ADMINISTRATION&FINANCE —473-7358 • PUBLIC WORKS—473-7359 <br /> ASSESSING <br />