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_ ��' <br /> ���� o� ����� <br /> �� Post Office Box 66•Crystal Bay,ibiinnesoca 5�323•Municipal Offices <br /> a� <br /> _ ��_ �� � �; On the North Sizore of Lake Minrzetonka <br /> DATA_PRIV�C'Y AD�ISaRv <br /> In accordance with M.S. I5.165 , "Rights of subjects of data", we <br /> would Iike to inform you that your reguest for a per�it or Iic�nse <br /> from the City of Orono or any of its departments may require you to <br /> furnish certain private or confidential information. <br /> You are notified that: <br /> 1. The information you furnish wil. I be used to determine your <br /> quaZification for the pe�-ait or Iicense recuested. <br /> 2. You may refuse to suppl.y data, but refusal. may require tnat <br /> the City deny the pe�it or Iic�*�se. <br /> 3. The information may be snared with other Iocal , stats or <br /> - - L-. ��.o A��-ent necessary to process tZe pe�ait or <br /> �i�, ►������. � ��l�i ��.�;��I� <br /> CITY OF ORONO <br /> 1335 Brown Rd. South • P.O. Box 66 PERMIT TYPE: ;�,i 13;._;�;:�.i;; <br /> Crystal Bay, Minnesota 55323 Permit Number: {�:f:�'::..c:;t: <br /> (612) 473-7357 Date Issued: i�-:�'i 3`_�:'i�`:° <br /> SITE ADDRESS: APPLICANT: <br /> _ ...-'-- �•-•++�T••-';�'i� =��iY� Ili.s� •r:.�« �._ :: _, <br /> � e_I�'! i'ii:_i'ii__1�'- y.r_t <br /> i,e-.S.�. . t�,.`.i—r-.f.'.:�3 <br /> PERMIT SUBTYPE: TYPE OF WORK: <br /> ����—�=i;:i(�i�Ft���`E�,i€�ti:�._ <br /> -.r,_ - _ _ �-- � - _, <br /> ."..'. _.r: :.-� i _ . . — �i�.�_ ':T; <br /> � , . ..._ - .- ' , -.. .. <br /> � �. <br /> `i- i 3`.:-;I,... I <br /> 1 . � :` "' 'T 7 "i�tr;_. �;: - [ `�... •.� <br /> r . <br /> � <br /> 1 !.. 5:�k�_�i' [. i. F .tl_..J._� i•i:_i:_x� - - - <br /> � .; �• ` r. 4 . . _ . . ... . _ ... .. ._. _. . ._.i�F�tYi'Y�.�� . � i":_3�' �.}-ii'l�i..� . _ ...+ ! p �� f-ej.., _} <br /> .. :� � � <br /> i l � / <br /> _ � •�_' •-. <br /> . ._ . : � i_ _ . . . � - � 3. » <br /> F. ! ?!r <br /> .. • ."'�.::� j' <br /> i <br /> : : . r 1 s: - ... ._, S i_,-�:-'i,-_ !_��S 3 t,�.:` �. .1`_i i �. .'_:,. y�i_�::l4 . _ __ r. ._E, . � _ . _ ._ .._ . _<,�,._ . .. <br /> �:,.Ei _ .�V. <br /> . ._ , _ . ._.. . _ . e�'=11.�"� � �"�.. i <br /> '�} ! <br /> I ouu.........�...-- — ! <br /> ASSESSING <br /> 5 I. <br /> � <br />