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i-' .f.Xf resulting fro« st^ct.maw* ""compliance with Zoning <br />n 150* (you must obtain <br />nance A-603 Govt Center <br />iressed to each of the <br />IS (use address labels <br />liations as required, <br />vations) if any changes <br />bach a separate list of <br />plication. <br />taf f. <br />I application. Please <br />complete if the above <br />plication is complete. <br />Date_ _ __ _ _ _ <br />formation required or <br />0 pay all fees and/or <br />:ion« and certifies that <br />3 the best of his/her <br />_ Date 12-28-1967 <br />Date Ig-2fl-i9fl7 <br />ices 25 days before the <br />secings are held on the <br />Bsent at all scheduled <br />il. If an applicant is <br />srrangements to have an <br />I the iiuilding «< Zoning <br />'i#: ■ ■■ <br />SSs'SS'Sfl; ;,iis <br />' •:. <br />- - il <br />application and further <br />2ity staff# consultants# <br />r purposes of investiga-. <br />7H <br />m <br />il <br />* <br />Sn • . <br />^3ni <br />yyi'^Pl^^y <br />'VW-Vi' ■.'• <br />;vv.. <br />*1 <br />siSiiiii <br />*wr.; <br />• ■)b W <br />; ■> 'i:i; ^^ ;■ ; V':- .k-; ;■ .;: V - ::.rS^'V:- ^^ : • •; k'fin/: • "k <br />V.i/rV <br />m-mt <br />■:• •:i <br />i-. ■■ ■..:'^'i <br />ti-'e-''': .■■'i <br />SSld K/i '■?!■*!■■.'!§■ <br />•r <br />• ^ ^ V. fr . ; s ^ <br />. • <br />. , : 'v;: <br />'‘.a k:kai;W:' <br />:'V "-'v" j-Tf-i'-k: iv-vivkkk'■ '"'ka a-’V^• • -.Ir •'•■?'. ?/••••’. ••: /..• k-... . -■•;■k\-■ .•; ■• ->;'V: ■ .:vr :v. :i'-a^;aakkXvkaa’-■. ■•■■-v ‘: ■ , ..V.■>kk;-:.:;k ■'••h V'-a.• i ; i.-A".. •V<; . '■■■:-;iK^k mmm■ .ak^-k^kk-a . <ak:-:a:¥;kkk, 'k''k-k'kkk''’:k'’vk'?Lj :: :;v :;a. ..*W''\i k '::?vkak";*W;v=!^-" ■a2kkak^'aa^kkaa^Na;-ks kK?-^^'-'-a:aaa:aa-v;?t^'k.; k%:r.-a- : ■•.•>..• <br />^m*- PakiEli’ <br />If > ■■ •,*'•'■ <br />I y/ V ' k-4'!^ <br />aaakk'Mk^a:k:-iii i^,ak'a»ji3• •i : •• ‘ ##12DATA PRIVACY ADVISORY <br />In accordance with M.S. 15.165, "Rights of subjects of data", <br />we would like to inform you that your request for a permit or <br />license from the City of Orono or any of its departments may <br />require you to furnish certain private or confidential inform­ <br />ation. <br />You are notified that: <br />1.The information you furnish will be used to determine <br />your qualification for the permit or license requested. <br />2.You may refuse to supply data# but refusal may require <br />that the City deny the permit or license. <br />3.The information may be shared with other local, state <br />or federal agencies to the extent necessary to process <br />the permit or license. <br />If your requested permit or license rieqires council <br />action to approve# some information may become public. <br />5.You have cert'j»n rights under M.S. 15.*165 to review <br />private data on yourself. <br />6.Your full name# and date of birth are required to process <br />this application or permit. <br />Sick <br />First <br />Leroy Plaisted <br />Middle <br />15267 Highland Trail <br />Last <br />Address <br />Minnetonka. Minn. 55545 <br />(£CP <br />birth(does not apply to buildirg/general permits) <br />mmrn <br />mVkk’^ ^V'k kV-^J:.-'kv krhi :'k- '’;k^S7r:;y.fc.” '■ ■wm <br />■^;i:kkkC;v’i. <br />^ ..-■■fai.*. . .... . k/.fj <br />I-''^ <br />mm <br />—iSSiiilftkik. <br />mmm <br />I: ". '.■■iSl <br />'y'y <br />.:.i <br />vVkv :< <br />mMjm. f'.a <br />I <br />Iftk'k <br />L kk XXy^yMX <br />f.%.>•... .. <br />I 3 <br />'k*’^*.v:-. •';; • <br />^ \ ' -■ •- *.. <br />k y0Xm