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1999-011251 - finish basement
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170 Crystal Creek Road - 33-118-23-33-0011
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1999-011251 - finish basement
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Last modified
8/22/2023 4:50:17 PM
Creation date
6/7/2016 1:09:33 PM
Metadata
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x Address Old
House Number
170
Street Name
Crystal Creek
Street Type
Road
Address
170 Crystal Creek Road
Document Type
Permits/Inspections
PIN
3311823330011
Supplemental fields
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Updated
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e <br /> Sec.13.04 RIGHTS OF SLJETECTS OF D?�Ta <br /> Subd. 1. Type of data. The righcs of individual on whom[he data is stored or ro be storcd shall be as set forth in[his secaon. <br /> Subd.2. Information reqirired to be given individual. An individual asked to supply private or confideariai daca conceming himself shall <br /> be informcd of: (a) che purpose and inr�nded use of che requesxed dara wichin the collecang'stace ageocy,polidcal subdivision,or sratewide rystem; <br /> (b)whe�:er he may refuse or is legally required co suppiy ehe requesced data;(c)any Imown coasequeace arising from tiis supplying or refusing to supply <br /> privace or confidenaal data;and(d)the idenary of o�her persoas or endaes au�horized by sc�te or federal law to receive[he data. This requiremenc shall <br /> not apply when an individuai is asked to supply inveso¢arive dam,pursuaa�to secdon 13.82, subdivision 5, co a law enforcemeat ofFicer. <br /> "Iha comrrussioner of revenu- nav ola�� che nodc- rauirod under this subdivision in [he individual income_rax or orooem taz refund <br /> instructions ins�:ad of on chose forms. <br /> Subd. 3. ?.ccess to data by individual. Upon request to a cesponsible aurhoriry,an individual shall be informed whzther he is the subject <br /> of scored dara on individuals,and whecher it is classified as public, private or confidenrial. Upon his further request, an individual who is the subject <br /> of stored privace or public dara on individuals shall be shown�he dara wichout any chargo to him and, if he desires, shall be informed of the concent <br /> ar.d meaning of chat dan. Afcer an individual has been shown�e private data and informzd of ics meaning, rhe dara need not be disclosed to him for <br /> siz monchs chereafcer unless a dispute or accion pursuanc co �his secdon is pznding or addidooal data on the individual 6as been coliecced or creaced. <br /> Tne res�onsibic au�horiry shall provide copies of the private or public data upon reques�by the individual subject of the data. The responsible authoriry <br /> may require [he requesdng person to pay the accual coscs of makin2, cerrifying,and compiling[be copies. <br /> 'The responsible auchoriry shall comply immediacely, if possible, wich any request made pursuant to this subdivision,or within five days of <br /> the da[e of che reques�,ezcluding Sacurdays,Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the requesc <br /> wichin rhac dme,he shall so inform[he individual,and may have an additioaal five days within which to comply wich the request,excluding Sacurdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or completeness of public or private <br /> data concerning himself. To exercise chis right,an individual shall nodfy in wridng the responsible au�horiry describing the nature of the disagreement. <br /> The responsible authoriry shalt within 30 days either: (a)correct ehz data found to be inaccucate or incomplece and attempc to nodfy pasc recipienu of <br /> inaccurate or incomplece data, including recipien�s named by rhz individual; or(b)notify the individual that he believes the data to be correcc. Data <br /> in dispuce shall be disclosed only if[he individual's statzmenc of disagreement is included wi[h the disclosed data. <br /> The decerminaoon of the responsible aurhoriry may be appealed pursuant to the provisions of the adaunistrarive procedure act relacing to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�.hts of subjects of data", we would like to inform you tha[your request <br /> for a pernut or license from the City of Orono or any of its deparcments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared wich ocher local, state or federal a�encies to the ex[ent necessary to process <br /> the pernut or license. <br /> 4. If your requested perm.it or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Firsc �tiddla Lasc <br /> Address <br /> Ci�, Srate Zip Ptione <br /> I underscand my ri�s as stated above. <br /> �;�/�i�i?�____.-�_"" <br /> � �; l'i.�/'-..�����.�� �-�"��" - <br /> Signamre <br /> / +, <br /> � <br />
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