HomeMy WebLinkAboutpaperwork/maps re permit application ►
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DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2 , "Rights of subjects of
data", we would like to inform you that your request for a permit or
license from the City of Orono or any of its departments may require
you to furnish certain private or confidential information.
-You are notified that:
:<�. .
1. The information you furnish will be used to determine your
qualification for the permit or license requested.
2. You may refuse to supply data, but refusal may require that
the City deny the permit or license.
3. The inf ormation may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
license.
4. If your requested permit or license requires Counci 1 action
to approve, some information may beccme public.
5. You have certain rights under bi.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
�- , ,�a 6'�'� �T�P i� ►� rT__
First Middle Last �
��`"� LPO� -� S?"+
Address
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City State Z1p
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Phone
I understand my rights as stated above.
igna ure
1
- � ���
. �,3_04 RIGHTS OF SIIBJ£CT5 OF DATA ,
�
Subdivision L Type of data- The rigi�ts af individuels on whom the data is -�
�
stored or to be stored shaJl be es set forth in this section. •-�
--- . Subd. 2. Snformativa required to be givea in�ivi��sl- An.individusl Esked to •
• ' supply private or confidential data concerning himself shali be informed of: (a) the
purpose and intended use of the requested ciata within the coIIecting siate agency,
political subdivision, or statewide system; (b) whether he may refuse or is legelly
required to supply the requested dats; (c) any lrnown consequencs arising from his
supplying or refusing tc supply private or confidentiel dats; end (d) the identity of
other persans or entities authorized by stste or federsl law to receive the data. This,
requirement shall not apply when an individuel is esked to supply investigative date,
pursusnt to seciion 13.82, subdivision �, to a law enforesment officer.
The ccmmissioner of revenue ms plece the notice reauired under this
subdivision in the individu8l incflme tax or pro�ertv tex reiund instructions insiead o
� on those orms. _ ___ _
Subd. 3. -� - Acce� tc �ata by- in�ividusl- Upon request ta e responsible '
authority, an individusl shall be informed whether he is the subject of stored data on
individusls; and whether it is clsssified es public, privaie or eanfidential. IIpon his
further request, en indivi�usl who is Lhe subjecL of stored private or public data on
ind.ividuels shaIl be shown the dste vYithout any charge to him anc, if he desires, shell
6e informed of ihe ecntent end meening of that data. After an indivi�uat hss been
shown the private dats snd informed of its meaning� the data need not be �sclosed to
him for six months thereafter �nless a disPute or action pursuant to this section is
, � pending or additional data on the individuAl hes been coIlected or created. Thy .
responsible authority shaIl provide cepies of the privete or pu�Iic data ucon request h
the individual subject of the data. The responsible authority mey reouire the
requesting person to pay the actuel costs of maldng, cartifying, and compiling the
copies. ssible with en re uest
The responsible authority sheIl cflmcly immedistely, it po , Y q
made pursuant to this subdivision, or within five days of the date of the reaust,
exrluding SaturdaS�s, Sundays 8nd legel holidays, if-imme�iate comcli$ncs is not
possible. If he cannot comply with the reQuest within that time, he shell so inform ths .
individuel, and mey have sn additionsl five days withia which to comply with the
request, excluding Ssturdays, Sundsys end legal holideys.-- --- :
Subd. 4. � Proced�se when data is nat acaiaste or complete. An individuel mey .
contest the accuracy or completeness�of public or private data concerning himself• To
exercise this rfght, en inaividusl sha,ll notify in writing the resPonsible authority
describing the nature of the disagresment The responsible suthority st�all within 30
days either. (a) correct the data found to be inaccurate or incamplete and attempt to
notifp pe.st recipients af inaccurate or incomplete dats, incluaing rerapients named by ,-��
�.-:
the individuel; or (b) notify the individual that he believes the data to be correct. -
Date in disp�rte st�ell be disclosed only if the individual's statement of disagreement is .
• included with the �sclosed data. -
' The determination of the responsible suthority may be appealed pursusnt tc th�
provisions ef the administrative procedure act relating to contested cases. _ �
I
1 1 r ♦n 1 1 n 1 r`+
��RDC�V�R C�L�� a iu� ;tiGr,�;�rt�►
s�;a�c{ zorvE: (cr�c�_ o►v�) C-75' 75-250' 25�-:00' SC0-IGGO'
EXISTING HARDCOVER IN ZONE
-------------------------- -
�.�.-___...
A. HOUSE `'y 7�' •� X � � = 13� . S�F�
� �� LFNGTH WIDTH
X _ . S.F� �
�� ;
X = S.F�
_ �
X = S�F� �=v";�:�
'",�a.,
•,
X = S�F� ;,�:-..
;._�
`�.'�.�
B. GARAGE X = S.F.
�;;;<"��:s:..._�
C. DRIVEWAY �Q� •. X 1 O� = S.F. ��
- - X = S.F� :$;� ',;
�y ��
D. . SIDEWALK X = S�F�
X _= S� F,
X — S.F.
E, PATIO/
DECK
� X — .F.
F�LANDSCAPE — .F.
AREAS
UNDERLAIN
BY — .F.
PLASTIC� � '
SHEETING �_ - �
' X = S�F�
X = - S.F.
G. OTHER X = S.F�
� , ------------- �
TOTAL NARDCDVER IN ZONE — � y� S.F� �A
TOTAL PRaPERTY AREA IN ZONE — .���,,,L1L'_ S�F. �B
A : B _. . . X I00 = �� ;� ---__
�
HARDCOUE� C�?LCULATION s�ORKSNE=; � - .
s���ac;< zorv�: (c:�c�� ovE) 0-?5' i5-?5�7' Z�0-:�70' S�0-IOGQ'
EXISTIPJG HARDCOVE� IN LONE
--------------------------
A, HOUSc X = S,F�
• LFNGTH WIDTH
X = � S.F.
X = S.F�
� X = S.F�
� X = S.F�
B� GARAGE X = S.F.
C. DRIVE�VAY X = S.F�
X = S.F�
D�. SIDE�IALK X _ _ � S.F.
X = S�F� .
X = S.F.
E. ATIO/
�ECK .
x = S.F.
F�LANDSGAPE X = S.F,
AREAS
U�SDER�A IN
BY X = S.F.
PLASTIC� , '
SHEETING
X = S.F.
X � S.F.
G. OTHER X • � S.F�
- TOTAL NARDCOVER IN ZONE - S.F. �
- TOTAL PROPERTY AREA IN ZONE - S.F. Q
A : B x I�0 = �
. - - . . ' . � . .� . � .. ' . f
_ RUN DATE,02/27/92 , > '' HENNEPIN_�� n ' , k,
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s , r ; :' �'I .REPORT iNO. PI433401 ' �
,�. „ . � '
` ° �t ' ' HEI�JEPIN COIJNTY PROPERTY INFORMATION SYSTEM .
RUN DATE 02/27/92, > , � �• ,; 1992 TAX BOOK i - � �
.. ^�r K ,, � 5 �' � , 38 ORONO ,:: ;� it s �� �
�+ p �� , .._ � a � . � e" • _ . �! 4 � t'+ .' .
' � ,.?s t�s r { . : .. I • ��: . ,� ' 'i � � � ; ; � �
TAXABLE MARKET � '. 100 ` �.00 DIVISION NO F 80064 '', � � J �
GROSS TAX'�APACITY ; . ,1 3 � QUALIFYING AMr� DIVISION DATE 06/80 � ' . . •
NET TAX CAPACI7Y; ; ;3' ' 'FD SNARED TC , +
RENTAL TAX ' FD AREA itATE 00000000 SEE ID S O4-117-23 �3 0001
IF PROJECT N0. 04-117-23 23 0002 . ,
IF PROJ_AMT �
TAX LEVY/DESCRIPTION HMSTDPRTYP RATE � AMOUNT LAND BLDG MACN.OVB�I% �BASE1 BASE2 NHBASE .I�N—HM33 �
3.92 100 •
NON—HOMESTEAQ GROSS TX N ;"R 115.0130. ,48CR
STATE PAID AID : 16.3220 . ;�
. TOTAL TAX 3.'� AMT UNPAID 3.4�►
, ; '. TOTAL PAID , ..00 � ' . .' �+►
„ . . ,
.. , ., ,,.. ; , . ' ,. ; �,.,
. . . . , . , �
� ' �
•,. � • LOT,BLK .PLAT PARCEL �PROPERTY I:D.' '� ►
OWNER `. ' MORT,CODE/LOAN � ADDITION NAME ; � ;�WP RG QQ SUFX �
TAXPAYER_NAME/ADDRESS� ESCROW NAME�ADDRESS ACREAGE DST SHD DST PROPERTY ADDRESS ' : � f�
METES.AND.BOINJDS ` , . � , . , . � � -
� ' AUDITOR'S SUBDIVISION N0. 230 '; 026 41520 04-117-23 23 0027 r
H W 8 S J LAUE•' 000.00 278 3 38 ADDRESS UNASSIGNED• . . x `: , ,
NERMAN W;& SHIRLEY J LAUE �, STATUS: CURRENT � ` �
, , _ .
CONSTRUCTION YEAR , � � ` '`�
594 PARK?LANE ; ; ; . - e� �
LONG LAKE MN 55356�. ,� - _ . , �. ;�
�AXABLE MARKET':' '' 19,000 83084' �, �' ,f � �` ��� �1 �
� .00 ' DIVISION N0 '�
GROSS TAX,CAPACITY �: � . . 428 � QUALIFYING AMT DIVISION DATE ." 10/83 �S � �,�
NET TAX CAPACITY . '304 ;'FD SHARED TC'; ' � ! .
RENTAL',TAX,, � ' FD AREA RATE 00000000 SEE ID S O4-117-23 2� 0003 ( , '�, ` �
., ;; , — —
IF PROJ AMT , IF PROJECT N0. , , , . • :� - _ � �,
04 117 23.32.0001 ' , ' '� ; "
; MACH OWW'. BASE1 �BASE2 NHBASE NON HMST } �
,.•. . • . . ,..: . ; ,,
,' , . � 'LAND . BLDG. - .
, . ,. �
� 304" .:b
TAX LEVY/DESCRIPTION -.HMSTDPRTYP RATE` AMOUNT ,
AG NON-Hh�TD':.6ROSS TAX..N %: F ` .115.0130 541.85 ; :;19,000 - , � , •
CR _. _ • '� �
STATE PAID AID ' ; ' �16.3220 49.61 � ' ,, � -�
� , � '` 142.62CR ; � � ' 1 x ," . ;: . f;�, ,
HACA �� j Y ,. .r a :7 f. 349.62 . ��.
; M� ,� ""i TOTAL.?AX ' ; i ' � ;AMF IA�PAID �� 349.62 ��1 �
� r '� ;TOTAL PAID , � 00 � � i � ' � ' '' � �� ' �.
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