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10i18�94 16:26 THE CITY OF ORONO 612-473-7357 003 <br /> �. .. <br /> �CITY +of OROIITO <br /> Posc Otttce eox ea•Cry�l S�y,MinnM6l1����MO[L��a 0�� <br /> On tht North S1wro af Lake Minnstonka <br /> � � � • <br /> DATA PRIY�C7� �►D'VISORY <br /> 04, Subd. 2. "Rights o� subjects of <br /> In accordance with M.S. 13. ermit or <br /> data", we Nould like to inform yau that Your r�quOat for ' P require <br /> �.iCeri6� fxom the City of orono or any of its departments may <br /> you to £urnish certain priva�e or con�idential� informmtion. <br /> You �ra notigied thatz <br /> ,�, The informati°n y�ermit or li ensebrequested�determine your <br /> qual.i�ication for the p uire that <br /> refuse to zupp�.Y data, but refusal may re9 <br /> 2. Yvu may the pezmit or licen�e. <br /> ttte City deny <br /> bQ ,�hared with other 1oca1 , stats oz <br /> 3. Th� inf orma�ion may roeess the permit or <br /> federal aqencies to the extenti necessary to P <br /> license. <br /> 4. If ypur r�quested Permitn�az be ome pvblic�es Couneil �ction <br /> to appro�e• some infozmation y Z3.04 to review Pr��m`e <br /> 5, you have certain riqhts under M.S. <br /> date on yvurselt. <br /> 6. Your fu1,I nnme is Xaqu�red to p�ocass this application or <br /> Pe�l�� T� �y <br /> � . �� e ' ` / <br /> irf� � ' z.ast f,�c�cr� <br /> Fi.rst Mid le <br /> /Q 0 �c°•/'' S.� � r � � '�— C��n/ <br /> Addresa � � S�(�,G <br /> � /f'�D l�� �ip <br /> State <br /> Ca.tY <br /> �,� . � <br /> phone <br /> Z undarata�n8 my rights as �tated above- <br /> . - � <br /> 5�gn u e <br /> dU1LDiNG Ac 20NiNG-�73'»S� • ADM1tVI37RA'nbN a F[NANCE-477-7355 <br /> . PUaCIC woRKb-473-T]s! <br /> ASSE6S(NG <br />