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f.f..i-~, <br />.. ·'\ ,::·=· ) <br />·_J' <br />CITY of ORONO <br />Municipal~ <br />Post Office Box 66 <br />Crystal Bay, Minnesota 55323-0066 <br />DATA PRIVACY ADVISORY <br />In accordance with M.S . 13.04, Subd. 2 , "Rights of subjects of data", we would like to <br />inform you that your request for a permit or license from the City of Orono or any of its <br />departments may require you to furnish certain private or confidential information. <br />You are notified that: <br />1. The information you furnish will be used to determine your qualification for the <br />permit or license requested. <br />2. You may refuse to supply data , but refusal may require that the City deny the permit <br />or 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 <br />information may become public . <br />5. You have certain rights under M.S. 13 .04 (see following page) to re v ie w pri vate d ata <br />on yourself. <br />6. Your full name is required to process this application or permit. <br />Gary D . Benso <br />First Middle Las t <br />Krqus~Anderson Construction Company, Midwest Division <br />8625 Rendova Street NE <br />Address <br />Circle Pines <br />City <br />MN <br />State <br />nd my rights as stated above. <br />f8/,t/~--- <br />TELEPHONE -4UJ7357 • FAX -473--0510 <br />550]4 <br />Zip <br />612 786 7711 <br />Phone