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2002-P04813 - re-roof
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1695 Fox Street - 03-117-23-44-0003
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2002-P04813 - re-roof
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Last modified
8/22/2023 4:38:54 PM
Creation date
10/11/2016 1:55:22 PM
Metadata
Fields
Template:
x Address Old
House Number
1695
Street Name
Fox
Street Type
Street
Address
1695 Fox St
Document Type
Permits/Inspections
PIN
0311723440003
Supplemental fields
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Updated
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Sca13.Q4 RYCrHTS OF 5Cf�JECTS OF DATA • <br /> Suhd. 1. Type o[da�a. Thc rishcs of individual oa whom�he dasa is atoced or to be swred shall be�s sot focih in�his secdoa. <br /> Subd.3. Iaformntioa req�red�o be give�s indivlduai. An iadividual askcd ro svPP�Y P'�vare or wnfidendal daci cooccrning himgelP shsli <br /> be informed at: (a)�he puspose and in�ended use o!du�equeased dao wichia ihe coUecdng Snre ae�•ency.policcal sabdi�ision,or s�a�cwidc rymm: <br /> (b)whe[her he may cefuse ot is legaily required m suppiy ihe csquesccd d��c�:(c)any knowa coasequeace uicing Prom his supptyiag or iefusiag m suPP�Y <br /> privau or aonfidenrial dara;and(d)rhe idaaory of odier pesoas o�enririas au�horized by s�a[e or fcdc�al law to rcceive me ds�a. 'I�s re4uiremen�shall <br /> � noc apply whcn an individual is asked w supplY invcsdgaave dara, pur.uan�zo secrion I3_B2,subdivisoa i. to a 1aw enParcemant otficec. <br /> The com�si ssioner of rcvewe mzv I�ce �he no4ee r irz�.� under this subdivision in rho iadividusl ineome ttx or oropettY rax refund <br /> ins�rucuons ins�ead of on rhnse forms. . <br /> Subd.3. Access to dat�bY indiv�duul. Upon requesc to a iti�Paasib�e au�horiry,an individual shall be inFormed whether he is che subjecL <br /> of scored dara on individuals,and whe�er it is elass'�fied as public,privace or conridznrial. Upon his funbo�requ�s��aa ind�vidual who is d�e subjac[ <br /> of srocad pn�ac�ar public data on individuals shall be shown�he dara w�chou�anY cha�e m tiim and,-if he�a����c b°d�osed ro him�for <br /> and m�B af�a�dara. Afce�un individual hss been shown[he privde dara and inforrtud ol i�c mcaniag, <br /> six awndts rherea[ier unlass a dispuu or accion pursuanc cn ihis secdoe is pcnding or addinanal dara on che individual has becn eollecced or crea�ed. <br /> 'il�e responsiblo au�horiq shall provide copias oP d�e pRvare or public da�upon requen by�he individual subjce[of�e da�. Thc responsible au�horiry <br /> cnay rcquire rhe r�quesdng person ro pay che aca�al coscs nf rnaking. ccrrifying, asul compiline�a coP't�s. <br /> The responsible sudioriry shsIl comply immedia�ety,iP possiblo, widi any requos�made pursuaiu rn chis subdi�ision,or wi�hia fiva duys of <br /> [he dax o[dio rcques�,excluding Sa�undaYs,Sundays and legal holidays.if immedia[c compliancc is not possiblc. If he canno[coraply v✓►th dte reques[ <br /> ��n c},at rime,he shall so infarm�he individual,and may have an additional five days wiehin which ro compty wi�h�hc reques�,excluding Sumrdays, <br /> Sundnys and ►egal hoiidays. <br /> Subd.4. Procedure when d�ta is no�acettrate or eomple�e. An individual may conres�che acouricy or complenness of public or privare <br /> �sn eoncarning himself. To exercise�h;s righ�,an individuai shall nod�y in wrians�hr n$Po��ble aurhoriry dcscribing ehe namre of d�e�di�8recn�c�c of <br /> 'Che trspocuible aurhoriry shall wichin 30 days einc�t: (a)corrcct�he d;�c�found ro bc inaccur��a or iacomple�e and aaamp<<o nodfy p TP <br /> inaccurate or incomplcoe data, ineLud►nB recipienrs named by�u indiv�dual:or(b)nodfy tha individual iha�he bclieves rhe da�a w be correc� Dara <br /> in d"ispu�shall be disclosed on1Y �f�t'c uidrv�dual�s stitemcn� �aa as�1 dC ursu3nt'to rhe p o uions of� dminisrradve proccdure act reladag w <br /> Tlte deurminadon of the rcsponsible aushoriry msy pp'� P <br /> conwsced rsscs. � <br /> DATA p�'ACY AD�S0�2Y <br /> In aeeordauce with M.S. 13.04, Subd.2, "Ri�hts of subjee[s of data", we would like to inform you tha�youc requesc <br /> for a permi� or license from �he Ciry of Orono or any of i[s depamnen�s may require you to fvrnish certain private or <br /> confidential information. <br /> You are notified chat: <br /> 1, The inforaoation you fumish will be used co deiermine your quali�ication for rhe permic or license requested. <br /> 2. you may refuse to suppiy data, bu� refuss�l may require chat the Ciry deny che permic or lieens�. <br /> 3, The information may be shared wich or,her local, scate or federal agencies to the ex�ent necessary to proeess <br /> the permic or license. <br /> a. If your requested permic or license requires Council aecion to approve, some information may become <br /> public. ourself, <br /> 5, You have cercava rights under M.S. 13.0�G (available upon request) to review private data oA y <br /> 6, your full name is required �o process this application ar permi�. <br /> Firsc <br /> Middle Lass <br /> Address � <br /> S�� Z�P Phone <br /> Ciry <br /> • i unders�and my righcs as s�a[ed above. . <br /> Signa�ure <br />
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