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2001-P04350 - re-roof
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3477 Crystal Place - 17-117-23-43-0010
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2001-P04350 - re-roof
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Last modified
8/22/2023 3:41:28 PM
Creation date
6/8/2016 1:20:44 PM
Metadata
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x Address Old
House Number
3477
Street Name
Crystal
Street Type
Place
Address
3477 Crystal Place
Document Type
Permits/Inspections
PIN
1711723430010
Supplemental fields
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Updated
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��a-2c-2001 08:23am From-CITY OF ORONO +95224F4616 T-665 P 003/003 F-617 <br /> � `, <br /> , • � <br /> � Sr.i3.04 RIGH'TS OF SC7BJ'ECT'S OF DaTA <br /> Subd. I. T}�pe of data. The righcs of individual on W�ow tbe daLt is stocrd or ro be siored shaii bc as sct forih in this sccdon. <br /> Subd.2. Informatioa reqirired to be pveu individuat, ,+„i individua!asYtd w supply priva[e or confidcnaal dat�conccrning hirnsclf shall <br /> be informed of: (a)che purpose and iarended use of the rtiquesmd da�wi�in du collecang Sr�te agcncy,poliacal svbdi�isiou,or sm�ewido sys�em; <br /> (b)wbcther he msy refusc er is lcgally rcquired to supgly mc rsGucsGd�an;(c)any lmown co��sequeace arisiag fivm his supplywg or refusing to suppiy <br /> privau orconnden�al dan;and(d)�he idenury of orherpersors orentiars authorized by s�ace or fcdcral law to receive the data This tequiremeat shsll <br /> no�apply when an individual is uked zo suppiy invesagadve daa,pursuazic co secunn 13.83, subdivision S,m a faw snforcemeat o�cer. <br /> 7t,c eomm;ssioner of_ �•eauc muv aface chc nodce reauirr.! under this subdivu!on in the individual i.come �x or orooem ux rePund <br /> instNCliO(15 l►ISie2d of an thost Porms. <br /> Subd.3. Access to data by individuaL iJpon rrqucsc to a resporsib3e au[�orip�,.in individual shall be irtformed wherher he is the sabjec� <br /> of swred data on individu�ls,and�+hcchcr i�is dsssifud as public,pnvate or coeftdenaal. U'pon his fut�her r�quat,aa individual who is the subjecc <br /> of Srnred pciva«or public data on individuals shall be shown�6e dan.widsou[any charge to him and:if he desires, shail be tnfocmed of sho contenc <br /> and mesniag of�hac das�. Aft�r an individuai has bren s6own che privsu dars and infonned nf irs mea:ing,rhe dara need not be disc2osed w hiai for <br /> six monchs dunafur unlcss a dispute or acrion parsuan��o ihis secaors is pcnding or addicoiial dau oa che individual hu bccn collccced or cr�a�ed. <br /> The responsible aurhoriry shaii proviQa eqpies oP me p�vace or public aacs upon rcquuc hy che individua!subject ol[he daa. The responsible suthority <br /> msy rcquire die requtsting parson ra psy d�ie actual cosrs of maYing. :crdfyi�,and compilir,g d�c capies. <br /> Thc responsible surhoriry shall comply immediately,if pos:�ible,wi�aryy r_quest roade pursuant ro this svbdivision,or within fivt days of <br /> the dau oP dle requesc,cxcluding Saturdays,Sundays and legsl holidnys,if irnmcdiate complia�uo is noc possible. If he csnao�comply wich rhe request <br /> within tha�timz.he shatl so inform thc individual,and may have an ad:idonal$re days wirhin which to comply wich�he requess,cxciuding Saturdays, <br /> Sundays and legsf hoiidays_ <br /> Subd.4. Proctdore when data is not accurrie or templete. An individusl may contest tht ac�uracy or completeness oP pubiic or pri�•act <br /> Z�s eoneeming hirrselP. To exereisc�his right,an individual shall nauty in wridcg the respon.ible suthoriry drscribing ehc nan,re of ehe disagreemcnc. <br /> '^�e responsible auchoriry shall within 30 dsys eis�er: ta)�arrcct shc Gam found ro be insccucate er Iricompfe[t and a¢empt to norify past recipien�s of <br /> iaaccutarc or incomplecc data, inctuding rzcipieaa aamed by�e iadi��i,ic:aJ;or(b)nocify du individual ehac he believes rhe dasa�o bc co�cG Dan <br /> in dispuce shsll bc Qiselosed oNy if fic individual's sracemen�of disa�{ceeraen�u includad wiil ihe discloscd da�. <br /> The dccerminacion of iha responsible auchoriry roay be apG��1ed pursuanc co the provisions of che adm.inis�arive pr�cedure ac�nladng ro <br /> concesxd c�srs. . � " <br /> D T�pRYVACY ADV�SOR'�; <br /> In accordance with M.S. 13.04, Subd.2, "Righu of subjects of da[a",we would like to inform you ttiat your reGuest <br /> for a permit or license from the Ciry of Orono or any ��f iu deparcmenrs n.ay require you to fumish cer�ain private or <br /> confidentisl information. <br /> You are noLifed that� <br /> 1, Trie information you furnish wilt be used ta de�ermine your qualification for zhe permi�or license requeszed. <br /> 2. You may refil.se to supply data, but refusal may require shat the City deny the perm.it or license. <br /> 3, The inforcna�ion may be shared wirh ocher loeal, scate or federal agencies to the excent necessary to proeess <br /> rhe permit or license. <br /> 4. If your requested permit or licenst requiras Council action to approve, some iaformation may beeome <br /> public. <br /> 5. You have cenain righ�s under M.S. 13.0-4 (available uQon re��uest) �o review private daca on yourself. <br /> 6. Your full name is required to process this appliration or parnuz. • <br /> ��c riiddie Lssc <br /> rlddnss , <br /> �i� Sn�e Zip Phone <br /> I under d my riAhss as siased above. <br /> ' C U�I�/'4.0�"O.� <br /> Signaturc <br />
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