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. SE�-19-2001 14�06. MGCO HSP-3RD 612 321 5279 P.03i05 <br /> I <br /> See.�3.04 RIGR'TS OF SVBI�G1'5 OF DA7'�1 <br /> su00. 1. 'lype ot dsa. T'6c ri�h�s of iodividua!oo Whos me dsa is smeed or m Ee stotr0 ssyl bs as sec io�d1 io�+s seccoo. <br /> Su6d.2. Iafoetm�o req�rsd►u bc�veo lodiridoal. ,V,uidividwl ukcd m srPPly priva�e or oonlideadal dao woeee�ain�6unicrf shzl <br /> �isloeme4 of: (i�d�e puepole sad iotended use ot me tsqne�md dya wi�ln rue coUada3 3Wt�geo�Y.polidal suEdivisioA.or st�ewidc sysmm; <br /> ` (b)WD���be��Rf�se or i:kg�ll!►ro4uiced eo�upply me Rquesoed usn:(a)soY kaowa wascqueae�uisieg hom�is wPP�Y�S oc rell�sins�o svv0�i' <br /> ppv�or eonf dendsl d�;uid(aI ths idenoq ol e�Der poesoat ee�oones wQ�anted br s�w or t�d:ral law to traive tJsc aaa. TAis tequir.raeo��s�! <br /> ao�spplr WAen�n in4i.idu�f is asred co s�pper i��eso�ad+n dao.pu.�iu�at o�secoon 17.53�s96di�ision S. [o�(iM entorremeac o�ecr. <br /> TM- �emntissioner_eLrevcm+�nw olus�e n�=reeai�� under fiis svbdi ision i��h�i ividu�l�soeu nx or +�—roee_� �i�reR+na <br /> „ r , <br /> Susd.9. Aeeat te dan Oy iAd�►d�o1- vOpn�equesa m a rcsponsible a��lwriqr.an iadi�idual sh�U be iaioaead whetAe�he is the su�je:c <br /> ol s�oe�d�on individr�t�.�w�edur u is cL�ssifiod as publi�.Oriva�e or ean6d�eoo�1. Upoo�it KtNfae Rquest�a iodividual Wbo is d�a subjcct <br /> of soo�ed pdvaoc or publie d�en mdivi0u�s�AsU be sbown me dso wimouc an�cea�e a 6im�nd:S tie desitas.shW be inlofaled af ma eonaeae <br /> snd ene�t�ias ol d�dsv.. A[u�an indi.idu�!�ss bemn shoWn�e pri�aie Eslt�Ad iofoe�ot is ausoi���he daa ae�d oo�bc eiselote0 ro eia fo� <br /> :is monQis d�erssher uoleu a ai�pwe or seoea puc=uan�m this seetion is pendio�e��didoesi Osts on tbt cldiv�dual4ss beta wlkcs0 0�ceesQd- <br /> T�e tetpo�s;ble�wbe�shsll Pro•ide eepies of Ne peivsre or publie dw upon eequest br d�r iadirdusl�4l�e��dass. !�C Rsponsibk+uewdry <br /> �iequiee tAe reque�dog pe�n r pay Q�e zeal�t!�osa o!ro�in�.•::rCfyinL.�nd eompiling�be�opies. <br /> The Ktpens'Ek�ud�oey►s6�ll eomp{y uMl�iaealy.if posiDlo.rid��r�cqueu midc puauane�o this�vbdivi�ion. or wiQ�five days of <br /> pk d�e of tbe ieques�,c�eludiae S�m�dsri�SuRdsrs aod lega{Aolidays.if i�nAediue aompliuier is noi poss�3le. �Fhe esaaa�eompty y►id�C1t r.Susc <br /> wiJ�in�hu d�.be sb�U so inlbtrf�he in0i�i0us1.�nd n�sy have�n adlidoai!t��c dsys Wid�in Wbieh m¢oteply uri��e eeqWSR ez:luaia�SsNrO�ys, <br /> 3undsrs oed lt�sl holid�ys. <br /> SYbd.�. A'ooedase M�s d�m is aoe aa+�rate o�eemPlece. M In�ilriduil rtvy CW�es�e iCeuluy of Cofnpkoe0ess oF pubiiC Of p��ict <br /> dsa eaKeraiOa Aunself. To eseteisc�i5 cijh�7u iedi�idWl Sb�ll tlotl(y ea wei�mg me tespootiole wd�erq dtscribt��tum�e ol d�e disiCRtOun[. <br /> T!e R�oaest�bl!�Yf�a�iqr fll���wiNie 50 days CnhtC la1 cn�ecc d�e o�a fov�d m 6e iaeeu�a or iacomplea u�d 3�oempt��adyr patt eeupienes ol <br /> Wep��yfe pc itlCol�lc�daq mClYd{e=�eGpleots aaeftd by�Ge IOdlvidl�l:or lb)eoufy r!w iadinidual�Ot believe!rbe daa zo be coefec�. Di� <br /> 4,dispure s�l�pe diufoud edr it tbe indi�rnlual•s soaemrne ot disttroemenc is iacl�ead wirh me d�selosed dss�. <br /> TAe de�enairoae6 of rbe eesp0�iple mul�oripr�asy E�3pFr.ated Ounu�t�o tlie pre�ruions of d��atiwsteaci�e proaedure au rcl�daa�0 <br /> coeoesa4 Csm. <br /> in aetotdaace wic!►M.S. I3.04,Subd.�, 'Rig�tts of subja�s of data'.we wouid like�o iAFoc�t you�bac your reques� <br /> for a permiL oc lieepse ftom ehe Ciry of Omno ar�ay uf i�s dep�ttmeats may nquire you to fun:isb. Car[ain private or <br /> confideatia{ infatm�ciou. <br /> ' You ete �otifud rbat: <br /> 1. The iaforti�acion you furnish will be used co dacamiae your qt�alificstion for s�permit or Iicat�se requesced. <br /> 2. You ma�y refuse tv supPly data, bu�teittsaJ rasy requica ��c rbe Ciry deay rbe permit or liaense. <br /> 3. ?'he iatot��t�ioa may be sha�red with ocbet loeat. srate or Fedual ageocies co�e exceot aecessary to proctss <br /> the pumit os liceose. � <br /> 4. If yotu�equesced pernsic or l'uease requires Couacil ucio� oo approve� aome iaformuion tuzy become <br /> publie. <br /> 5. You have caiaui tighcs uade� :�t.S. 13.C� (available upoa teq�es�) �o review peivate daw on youaelf. <br /> 6. Your fytl aara�r is required co process �d.is ipplic.uion or permi�. <br /> REu�.-�- �7� � <br /> Fvsc �tiddle Lis� <br /> ?O � [,�S�I.l� pc��, <br /> �tnR�tS� ►�nl SS�f.n�. GI L___-=-- 4�q _ <br /> eiry �Gt,l'��,r.S P¢fs� (Z.�-. �j(�re�v-- z1p Fnoae <br /> . <br /> r w�ers m,► ri�kw a� :ruea ��o��. C���ca�►'�s..s Ma...�,�. <br /> si�ns�ure ' <br />