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,. � , ' <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2,"Rights of subjects of data",we would like to inform you that your <br /> request for a permit or license from the City of Orono or any of its departments may require you to furnish <br /> 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 permit or <br /> license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the permit or <br /> � license. - <br /> 3. The information may be shared with other local, state or federal agencies to the extent <br /> necessary to process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information <br /> may become public. <br /> 5. You have certain rights under M.S. 13.04 (see following page) to review private data on <br /> yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Michael Thomas Schraad <br /> First Middle Last <br />, c/o Welsh Companies <br /> 4350 Baker Road, Suite 400 <br /> Address <br /> . Minnetonka MN 55343 952-897-7862 <br /> City State Zip Phone <br /> I un st m ' s as abov . <br /> gnature <br /> This is an information sheek Every effort has been made fo insure the accuracy of the information contained herein; <br /> however,if any information is nof consistenf with provisions of the Cify Code, the Code provisions will prevail. <br /> CUP and Other Land Use Applications ����'��� <br /> Last Updated: November 30,2009 <br /> � �o — MAY 19 2010 <br /> � CITY OF ORON� <br />