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,'1 <br />,/ <br />CITY of ORONO <br />Municipal Offices <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 .. <br />permit or license. <br />3. The information may be shared with other local, state or federal agencies to the <br />extent 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 review private <br />data on yourself. <br />6. Your full name is required to process this application or permit. <br />Scott A. Crawford <br />First Middle Last <br />Kraus-Anderson Constructiqn Campany, M;tdwest Divisic:m <br />Address 8625 Rendova Street NE. <br />Circle Pines <br />City <br />/, <br />MN <br />State <br />'IELEPHONE-481:-7357 • FAX -473--0510 <br />55014 <br />Zip <br />612 . 786 :7-lll- <br />Phone