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1996-008363 - deck
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340 Leaf Street - 04-117-23-23-0008
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1996-008363 - deck
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Last modified
8/22/2023 5:09:52 PM
Creation date
10/19/2017 2:43:12 PM
Metadata
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Template:
x Address Old
House Number
340
Street Name
Leaf
Street Type
Street
Address
340 Leaf St
Document Type
Permits/Inspections
PIN
0411723230008
Supplemental fields
ProcessedPID
Updated
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� � <br /> Sec.13.04 RIGH'TS OF SUB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcs of individual on whom the data is scored or to be stored shall be as set forth in this secdon. <br /> Subd.2. Information required to be given individual. An individual asked to supply private or confidendal data conceming himself shall <br /> be informed of: (a)[he purpose and intended use of the requested data wi�hin the collecting'state agency,polidcal subdivision,or stacewide system; <br /> (b)whether he may refuse or is legally required to supply the requested data;(c)any l�own consequence arising from his supplying or refusing to supply <br /> private or confidendal data;and(d)the identiry of o[her persons or entides authorized by state or federal law to receive the data. 'Ihis requirement shall <br /> noc apply when an individual is asked to supply invesrigadve data, pursuant[o secdon 13.82, subdivision 5, to a law enforcement o�cer. <br /> The commissioner of revenue mav piace the nocice required under this subdivision in the individual income tax or proDertv tax refund <br /> instrucrions instead of on those forms. <br /> Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject <br /> of stored data on individuais, and whether it is classified as public, priva[e or confidentiai. Upon his furrher request,an individual who is the subjec[ <br /> of stored private or public data on individuals shall be shown[he data without any charge to hirn and, if he desires, shall be informed of the content <br /> and meaning of that data. Aher an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for <br /> six months thereaher unless a dispute or action pursuant to this secaon is pending or additional data on the individual has been collected or crea[ed. <br /> The responsible authoriry shall provide copies of the private or public data upon request by the individual subject of the data. The responsible au[horiry <br /> may require the requesting person to pay the actual costs of making, cerrifying, and compiling the copies. <br /> The responsible authoriry shall compfy immediately, if possible, wi[h any request made pursuant to this subdivision,or within five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request <br /> within that tune,he shall so inform the individual,and may have an addidonal five days within which to comply wi[h the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accu:ate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this right,an individual shall notify in writing the responsible authoriry describing the nature of the disagreement. <br /> The responsible authority shall within 30 days either. (a)correc[the data found to be inaccurate or incomplete and attempt to notify past recipients of <br /> inaccurate or incomplete data, including recipiencs named by the individual; or(b)notify the individual that he believes the data to be correct. Data <br /> in dispute shall be disclosed only if the individual's stacement of disagreement is included with the disclosed data. <br /> Tne determinacion of the responsibie authoriry may be appealed pursuant to the provisions of the admuustrative procedure act relating to <br /> contested 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 pernut or license from the City of Orono or any of its departments 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 pernu[ or license. <br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested pernut or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> (. Your full name is required to process this application or permit. <br /> � �=� ��-� �� l I_� �, �� - ;�� ;c� ,, <br /> First :�liddle Lasc <br /> >>`{�� � �c� E ` �— <br /> Address r�:i \ <, C� l � �� �l ��- �; J l��' <br /> � i� C� r i i.: <br /> C�ty State Zip Phone <br /> I understand my,rights as stated above. <br /> � .� �_ <br /> , <br /> �Ll,i� � �� ;� --•--- -- <br /> Signature <br />
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