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"h!U.1111&1 <br />27501'11111PIIW'IY <br />Orotlt, MN SS3$1 <br />Muld,al<>mc. ........ <br />f'.0.e.68 <br />Cfyal S.,, MN S5moo&f <br />aw eJUYACY ADmaax <br />' ' . <br />In w:~c with M.S. 13.04, Subd. 2, "Rights of subje.:ts of data", we would like <br />to u:d'onn you that your request for • permit or license from the City of Orono or any ot its <br />depm1:mer11t m.ay req,uirc yo\! to ftmrish certain private or toufiatial inf'ormation. <br />lO 'd <br />Y 01,1 are· notified that: <br />1. The intolffl&tion you .fmnish will be used ·to datennine )'Out qualification for the <br />permit or license RQ1.1este,d. <br />,, ·,, <br />2. You may muse to supply data, b1.1t rofial may require tut the City deny the <br />permit or li<lCnJe, · · . •. ;::·.". _.. :: . <br />, . : .. ·/, <br />· ) . · · The imormatio.a ma)' he ~ with other local, ·state o~ ftdeta1 · agencies w the <br />· · · extent n~ .10 process tbe pemait or li~nsc. . .·. ' ·, <br />. -4. -If your ftltUestcd permit-~ .license~~ Cound1.':acti~n i~'•approvei some <br />--~. --·· ·-information may:become publio. · , , .. _ /•:; .·.i_ •.• , -.1 .i.'.. · - <br />s. i.. You haw cerwn -~;~ ~ M.s.·· 13.04 (~tro1i~-pq~;--to· miew pri~tc <br />-_/ __ ··data on yo0 t·~·-.. /., .':: .·_·. :·.· .-. · : •-· · "-,·_, -, .... ' _ .:_._'.. · <br />,, /. ': ' . :. ': · . .'' <br />. 6. . · Your Ml ~e is r~uu:ed to process this app-lication· orr:tJ! <br />rklrt. f'"'CJia(t6a 2?§SE~--· <br />First Middle ~ . . <br />.'' ~ ~ ~Pai ot Rd I <br />. Addn:a ! -.~ .. --: --•. : --:: . ·, ,.J __ , ,,.•, '. <br />T..,,n, ~,Ul -.,an • l"U 41'.3-0SlO . <br />8