HomeMy WebLinkAbout1993-005414 - repair concrete all PER741T
CITY OF ORONO PERMIT TYPE: 7,J I T 1 L
2750 Kelley Parkway - P.O. Box 815 Permit Number: E, I N G'j
Orono, Minnesota 55356-0815 4J A
Date Issued:
(612) 473-7357
SITE ADDRESS:
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N. 7 2-3 _12 2
DESCRIPTION:
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lirlIDERS*IGNED HEREB"T' F"EL-F-0-111'SION _r( t-i"K _rHE R-L*i,1 TMPROVEMEN'
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APPLICANT/PERMITEE SIGNATURE 4,7 ISSUED BY:SIGNATURE
CITY of ORONO
Post Office Boz 66•Crystal Bay,Minnesota 55323•Municipal Offices
s
. • On the North Shore of Lake Minnetonka
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
uior
license from the City of Orono or any of its departments may req
re
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 information 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 Council action
to approve, some information may become public.
5. You have certain rights under M.S. 13.04 to review private
data on yourself.
6. Your full name is required to process this application or
permit.
,CT
� is
First Middle Last
Address
e-lu kin—
Citr State
Zip
41 -tel C'S
Phone
I unders and my rights stated above.
. Ct
SignatutV
BUILDING&ZONING—473-7357 • ADMINISTRATION&FINANCE—473-73S8 • PUBLIC WORKS—473-7359
ASSESSING
r .
- 1
513.04 RIGHTS OF SUBJFj= OF DATA
Subdivision L Type
of data. The rights of individuals on whom the data is
stored or to be stored shall be as set forth in this section.
to be given individual- An.individual asked to
Subd. 2. Information required be
supply private or confidential data concerning himselfwithin the the collecoting state age '
PP Y
purpose and intended use of the requested data v refuse or is legally
political subdivision, or statewide system; (b) whether he may from his
the requested data; (c) any known consequence arising
required to supply and (d) the identity of
supplying or refusing to supply private or confidential data;
other persons or entities authorized by state or
requirement shall not appfederal law to receive the data. This.
1 when an individual is asked to supply investigative data,
y
pursuant to section 13.82, subdivision 59 to a levy enforcement officer.
der
The commissioner of revenue may alert the ax e31 TLinstructionsuinsteadhos
subdivision in the individual income tax or arae V
on those orms.
cess to data by individual
Upon request to a responsible
Subd. 3. - AcP
d data on
authority, an individual shall be informed whether he vateeor=confidential.e Upon his
individuals, and whether it is classified as public data on
if he desires, shall
further request, an individual who is the subjecc��to himriande,or
individuals shall be shown the data With(
any
data. After an individual has been
�e informed of the content and meaning the data need not be disclosed to
shown the private data and informed of its meaning,r ction pursuant to this section is
him for six months thereafter unless a dispute been collected or created. The
pending or additional data on the individual has ublic data upon request by
responsible authority shall provide copies of the private
or authority may require the
the individual subject of the data. The responsiblecertifying, and compiling the
requesting person to pay the actual costs of making,
copies. immediately, if possible, with any request
The responsible authority shall comply
of the date of the request,
made pursuant to this subdivision, or legal thin five if immediate compliance is not
Sundays holidays,
excluding Saturdays, with the request within that time, he shall so inform the
possible. If he cannot comply within which to comply
individual, and may have s, Sundays
eta five dao days•
request, excluding Saturdays, Sundays �
dare when data is not accurate or Complete. An individual may
To
Subd. 4. Proce ublic or private data concerning
himself.
contest the accuracy or completeness-of public
in writing the responsible authority
exercise this right, an individual shall
nL The responsible authority shall within 30
describing the nature of the disagr incomplete and attempt to
days either: (a) correct the data found to be inae duataeinclecipients named by
notify past recipients of inaccurate or incomethe
the individual; or (b) notify the individual
vi�dualstatementOfgreem disagreement
is
Data in dispute shall be disclosed only if the
• included with the disclosed data. ble authority may be appealed pursuant to the
The determination of the responsi dure act relating to contested.cases.
provisions of the administrative proce