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'· •,. · ... <br />. DATA PRl\l ACY .ADVISO .RY . . . . .· . . . . . . . <br />In . accord,an.ce with Mlnn~sota State Statl!te 13.04 .·.Right~ of Subjec~s of Data, su.bd. 2, "Terines,sen <br />. . warning'\ we v.:ould . like to :Inform you that yo!,lr reques.t for a perll)it or licerise froni the City of Orono or <br />. , any qf. its. departments may"require you to furnish certain private or confidential lnformc:ition. . .. . . . ., .. · ·. . . . .. <br />. ,.· <br />You are riotiijed that: · . . <br />,:tie Information ' you f!,lrnish wili be used to determine your qualificatio1ffor the permit or . <br />:ljc~ns~re1u~~te.d.· ·:\· .. ·.<,: ... ':~···.·. ·:···;: .····:··.·.·, ::··;·.•.··:··-,, <br />You may refuse to su~~ly data, but ~if~sai may require that the City deny the permit or <br />license ; . · . · . ·. · . · · , · <br />3 .. · <br />'.4. <br />t -'he information may' be shared V'i;~ oth'er local, state or federal age~cies to the e);(tent <br />necessary to process the permit 'ot license. .. . , ' ' . . · . , . ·' ' <br />' ·, ~ (t ;o~/~~qh~~ted. permit ~/ iice~s:e ·r~~ulr~{douilcil ~~tio~ to appr~ve~. s~me information .. ·}nay be9on,epubllc : ·· .. ·. ·,. · ··. . ... · · · :: . . . . ..... <br />. 5. You h.~ve c~d~in rights under Minnesota State Statute 13.04 (s~~ following page) to <br />revi~w priyate data on you.rself. . . . • · ·: · ..... . <br />6. . Yo~r full name ·is r~quired to process thi$ applic~tion, cir permit. <br />' • • I ' • • • . <br />;i <br />Last <br />. Addre~;s <br />City . Zip <br />Subdivision Packet Last Updated: 04/01/2013 <br />Paga 13 of24 <br />· Phone <br />.ECEIVED <br />l DEC -9 2013 <br />Oc1tv OF ORONO