Laserfiche WebLink
....,.-..if::-.-- -.;7-.::=.7.:7: 7 <br /> A.. <br /> CITY of OR.ONO <br /> . - <br /> - - -_- Post Office Box 66•Crystal Bay.Minnesota 55323•Municipal Offices <br /> - Q On the North Shore of Lake Minnetonka <br /> -_CIRCINCF <br /> - " ` DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of <br /> request for a permit or <br /> data", we would like to inform you that your <br /> of Orono or any of its departments may require <br /> license from the City information. <br /> you to furnish certain private or confidential <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your <br /> qualification for the permit or license requested. <br /> 1 data, but refusal may require that <br /> 2. You may refuse to Supp Y <br /> the City deny the permit or license. <br /> 3. The information may be shared with other o cal , permit ostate r <br /> federal agencies to the extent necessary to <br /> license. <br /> 4. If your requested permit or license requires Council action <br /> to approve, <br /> some information may become public. <br /> S. You have certain rights under M.S. 13.04 to review private <br /> data on yourself. <br /> 6. Your full name is required to process this application or <br /> permit. <br /> First <br /> Middle Last <br /> Address <br /> City <br /> State Zip <br /> Phone • <br /> i understand my rights as stated above. <br /> Signature <br /> BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-7358 <br /> • PUBLIC WORKS—473-7359 <br /> ASSESSING <br />