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10/18/94 16:26 THE CITY OF ORONO 612-473-7357 003 <br /> CITY of ORONO <br /> Post 0MCe Box 68•Crye ai Say,Minnesota 5553239Municiv&'OM— <br /> On the North Shore of Lake Minnetonka <br /> DATA PRICY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of <br /> you that your request for a permit or <br /> data", we would like to inform yof its departments require <br /> license from ertain private rono or any <br /> you to furnishvate or confident al information- <br /> you <br /> nfoation-You are notified that: <br /> furnish will be used to <br /> determine your <br /> 1. The information you <br /> qualification for the permit or license req <br /> 2. you may <br /> refuse to supply data, but refusal may require that <br /> the City deny the permit or license. <br /> be shared with other <br /> esscth <br /> 3. The information may e permit or <br /> federal agencies to the extent necessazy to Pc <br /> license. <br /> 4. If your requested permit or license requires Council action <br /> become public. <br /> to approve, some information may <br /> 5. You have certain rights under M.S. 13.04 to review private <br /> data on yourself. <br /> squired to process this application or <br /> g. Your full name is r <br /> permit. <br /> 1� mJA <br /> iddle <br /> Last <br /> First F <br /> l <br /> Ad�_ress <br /> City <br /> State Zip <br /> r ---26 / 7 <br /> Phone <br /> I understand my rights as stated above. <br /> Sig afore <br /> BUILDING A ZONING-473.7357 • ADMINISTRAVON h FINANCE-473-7358 <br /> • PUBLIC WORKS-473-7359 <br /> ASSESSING <br />