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f! <br />H e:;~;72,;r <br />~' ;, 7/J'.,,, l:::'¥~".£':.z:) ·,,o,,,;' . . . . <br />CITY of ORONO'" <br />Municipal Ollices <br />Post Omce 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 Construction Company, '.Midwest Division <br />8625 Rendova Street <br />Address <br />Ci;rle Pines 55014 <br />City State Zip <br />as stated above. <br />IBLEPHONE-481-!357 • FAX-473--0510 <br />786-77ll <br />Phone