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• <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subject. of data", we would like to inform you that your <br /> request for a permit or license from the City of Orono or a y of its departments may require you to furnish <br /> certain private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used tI determine your qualification for the permit or <br /> license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or <br /> license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent <br /> necessary to process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information <br /> may become public. <br /> 5. You have certain rights under M.S. 13.04 (see following page) to review private data on <br /> yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Wagener Properties, LLC <br /> First Middle Last <br /> 12520 Wayzata Blvd. <br /> Address <br /> Minnetonka MN 553Q5 952-475-1907 <br /> City State Zip Phone <br /> I understand my rights as stated above. <br /> Signature Pete . Johnson, as att rnpy for <br /> Wagener Properties, LLC <br /> RECEIVED <br /> CUP and Other Land Use Applications <br /> Last Updated: May 26,2009 SEP 2 3 2009 <br /> io <br /> CITY OF ORONO # 3 431 <br />