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1998-010354 - tearoff/reroof
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4395 North Shore Drive - 07-117-23-43-0018
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1998-010354 - tearoff/reroof
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Last modified
8/22/2023 5:39:22 PM
Creation date
1/19/2018 8:45:39 AM
Metadata
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x Address Old
House Number
4395
Street Name
North Shore
Street Type
Drive
Address
4395 North Shore Dr
Document Type
Permits/Inspections
PIN
0711723430018
Supplemental fields
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Updated
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� �w <br /> .� � <br /> Szc.13.04 RIGHTS OF SUBJECTS OF DaTA <br /> Subd. 1. Type of daca. "Ihe righes of individual on whom the data is stored or to be scord sha[i be as sec forth in this secdon. - <br /> Subd.2. Information reqirired to be given individual. An individual azked to supply privace or confideaaal dara coacerning himsetf shall <br /> be informed of: (a) the purpose and iarended use of the requcs•..�dam within the collecang"stare ageacy, polirical subdivision,or st3cewide rystem; <br /> (b)whether he may rfuse or is legally required co suppiy the r_quested dac3;(c)any Irnown coasequence arising from his supptying or refusing to supply <br /> private or conndendal daca;and(d)the idendry of o[her panoas or enddes auchorized by scace or federal law to receive rh=data. This requ'uement shall <br /> no[appiy when an individual is asked to supply invesrieadve dara, pursuan�to secaon 13.82,subdivision 5, to a law enforcement ofricer. - <br /> The commission-r of revenua mav place cha noac- rauir�+ und�r this subdivision in the individual ir.come tax or oropzm_tax reCund <br /> inscrucrions instead of on chose forms. <br /> Subd. 3. Access to data by indi�iduai. lipon request to a responsible au�horiry,an individual shall be informed whether he is the subject � <br /> of scored dara on individuais,and wheche�it is classified bs public, priva:e or confidennal. Upon his further requesc,an individual who is the subjec� <br /> of s�ored private or public dara on individuals shall be shown che daca wirhout any charge to him and;if he desires, shall be informed of the content <br /> and meaning of chat dara. Afrer an individual h�s been shown[he privac�data and informed of ics meaning, the data need not be disclosed to him for <br /> six monchs[hereaccer unless a dispu[e or acdon pursuan�co chis secdon is pznding or addirional data on the individual has been col[ece�d or creaced. <br /> The responsibl�authoriry shall provide copies of the priva[e or public data upon reques�by che individual subjecc of chz data. The responsible auchoriry <br /> may require the requesring person to pay the auual coscs of m�king,cerrifying,and compiling the copies. <br /> The responsible auchoriry shall comply immedia�ely,if possiblz, with any request made pursuant to this subdivision, or wichin five days of <br /> the da�e of[hz request,exciuding Sacurdays,Sundays and legal holidays,if immedia[e compliance is noc possible. If he cannoc comply with the requesc <br /> wi[hin[hac cime,he shall so inform che individual,and may have an addidonal five days wichin which to comply wirh the requesc,ezctuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may concesc che accuracy or compieteness of public or pri�•ate <br /> dara concerning himse(F. To exercise this ri¢hc,an individual shall noa"ry in wriang the responsible auchoriry describing the nature of the disagreemenc. <br /> The responsibi�aucr.oriry shall within 30 days ei[her: (a)correct�he data found to be inaccurate or incompiete and actempc to nodfy past recipiena of <br /> inaccurate or incomplz�e data, including recipiencs named by the ir.dividual; or(b)r.odfy the ir:dividual that he believes the data to be cocrect. Data <br /> in dispute shall b�disclosed only if the individual's s[aczmenc of disagrcemenc is included wich che disclosed data. <br /> The d:cerminadon of the responsible authoriry may be appzated pursuanc to [he provisions of[he admuusaadve procedure act relaang to <br /> con�esced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�cs of subjects of data", we would like to inform you that your request <br /> for a permic or license from the Ciry of Orono or any of ics departments may require you to fumish 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 perm.ic or license. <br /> 3. The information may be shared with other local, state or federal a�encies to the extent necessary to process <br /> � the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have cenain ri;hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process [his application or permit. <br /> �.����:-� ����,�I�� � � ���C�'�.C� ���1'.1_ <br /> First �Siddla Last <br /> `���� �c ('� I S - <br /> Address � _ , <br /> '�ti�C;l� 1 � �'l C�.��►/1 �� S�'��'► — <br /> Ci�� Sta�e Zip Phone <br /> I understand my ri;h�s as stated above. <br /> � 4� i '�, <br /> Signacure <br />
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