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1999-012174 - new residence
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3705 Livingston Avenue - 17-117-23-34-0070
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1999-012174 - new residence
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Entry Properties
Last modified
8/22/2023 3:38:31 PM
Creation date
5/19/2017 12:11:43 PM
Metadata
Fields
Template:
x Address Old
House Number
3705
Street Name
Livingston
Street Type
Avenue
Address
3705 Livingston Avenue
Document Type
Permits/Inspections
PIN
1711723340070
Supplemental fields
ProcessedPID
Updated
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Sec.13.04 RIGFTfS OF SUB,TEC1'S OF DATA <br /> Subd. 1. Type o[data. T6e rights of individuai on whom the data is stored or to be swred s6all be as set forth in this section. <br /> Subd.2. Informatioa required to be Qiven indiv{dual. qn individual asked w suPP�Y Private or confidendal data concerning himself shall <br /> be infortned of: (a)the purpose and intended use of the requested data within the collecting state agency,po�in�al subdrvision,or statewide system; (b) <br /> wherher he may refuse or is legally required to supply the requested data;(c)any lrnown consequence arising fcom his yvPp�ying or refusing to supply <br /> private or confidenoal data;and(d)t6e identity of other persons or endties suthorized by state or federal law to receive the data. 'I'his reqnir�ment s6a11 <br /> not apply when an individual is asked to supply invesagadve data,pursuan[co secdon 13.82, subdivision 5,to a law enforcement officer. <br /> '!he commissioner of ievemie ma lace the oopce u�der this yubdn,isioa in the individual income tax or ro tax refund inswcaons <br /> instead of on those forms. <br /> S�►bd•3• Acc�c to data by individual, Upon request to a responsible authoriry,an individual shall be informed whether he is the subject of <br /> swred dara on individuals,and w6ether it is cL�ssiSed as p�blic,pm,ate or confidenGal. Upon his fu�dser request, an individual who is the subject of stored <br /> privare or�wblic data on individuals shall be shown the data without any charge to him and, if he desins, shall be informed of the content and meaning <br /> of that data. After an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six moaths <br /> the�eaRer unless a dispuoe or action pursuanc W this section is pending or addi�onai data on the individual has been collected or creaced. The responsible <br /> authoriry sha11 provide copies of the private or public data upon nquest by the individual subject of the data. The nsponsible authoriry may roquire the <br /> roquesting person to pay the acmal costs of <br /> malcing,certifying,and compiling the copies. <br /> 7be cesponsible authoriry shall comply immediately. if possible,with any tequest made pursuant to this subdivision,or within five days of the <br /> date of the cequest,excluding Saw�days��ays and legal holidays, if immediate comp(iance is aot possible. If he cannot comply with the request within <br /> �a�ame.h�sha11 so inforn�t1k individual,and may have an addidonal five days within which to comply with the request,excluding Saturdays, Sundays <br /> and legal holidays. <br /> ��'4' ����dsta is oot att�te or c�pkte, pn individual may conust the accuracy or completeness of public or private data <br /> co►�cemin8 himself. To exercise this right,an individual shall nodfy in writing the nsponsble authoriry describing the aature of the disagreement. The <br /> respoasible authoriry shall within 30 days eiidxr. (a)cornxt the data found to be inaccucace or incomplete and attempt to notify past recipients of inaccurate <br /> or incomplete dara,i�luding recipirnts named hy the individual;or(b)notify the i�ividual that he believes the data co be cornct. Data in dispute shall <br /> be disclosed oNy if the individual's statement of disagreement is included with the disclosed data. <br /> "It�e dererminadon of the�sspo�mb�e auttw��y may��p���t p��provisions of the adminisaadve proceduro act relating to contested <br /> cases. <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 request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1• The information you fumish 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 informadon may be shazed with other local, state or federal agencies to the eztent necessary to process <br /> the permit or license. <br /> 4• If your requested permit or license nequires Council action to approve, some information may become public. <br /> 5• You have certain rights 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 /> . �.e� <br /> First Middle (�s�••�� <br /> I.ast <br /> pn C3e.� Lf`� �z z <br /> Address <br /> �� , �.,�.�n /�� .��'y'�� ef7 �i�C'3 z7Z.(o <br /> C�ty State <br /> Z�P Phone <br /> I understand my ri s sta d ove. <br /> Signaarc <br /> 10 <br />
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