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<br /> ,� *��+_'„�.�; Post Office Box 66•Crystal Bay, Minnesota 55323•Munic3,pa1 Offices
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<br /> ��� � s . � �. On the North Shore of Lake Minnetonka
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<br /> , DATA PRIVACY ADVISORY
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<br /> '��"�� In accordance with M.S. 13.04 , Subd. 2 , "Rights of subjects of
<br /> >��:� ,;� data", we would like to inform yau that your request for a permit or
<br /> license from the City of Orono or any of its departments may require
<br /> (�,T , you to furnish certain private or confidential information.
<br /> ,. ,` � You are notified that:
<br /> � 1. The information you fu.rnish wi1.1 be used to determine your
<br /> � qualification for the permit or license requ�sted.
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<br /> Y�� � 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 other Iocal , state or
<br /> federal agencies to the extent necessary to process the permit ar
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<br /> license.
<br /> ��' �' ` 4. If your requested permit or I.icense requires Council action
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<br />' ��,�4r � � to approve, some information may became public.
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<br />" �` �; 3 5. You have certain rights under M.S. 13.04 to review pri�a�G
<br /> U'� '� � data on yourself.
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<br /> r �',7� ,t ��'- 6. Your full name is required to process this application or
<br /> `� ��� � ,, ,� permit. �
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<br />��''� ' � PUBLIC WORKS —473•7359 �
<br />� BUILDING&ZONING—473•7357 • ADMINISTRATION&FINANCE —473•7358
<br /> � ASSESSING
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