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JUN-20-2602 16:34 FROM:ST CROIX VALLEY CONT 9524704413 T0:+9522494616 P.003�003 <br /> Jun-�p-2002 `01:25wp Fro�-CITY OF ORONO t95224A4616 T-4A6 P.003/a03 F-411 <br /> Scc.l'.Oi SIGti'PS OF SUBJL�GTS aF D.►TA <br /> 3ubd. 1_ Type o[daa. Tbc d6�ot iodi�idusl oa wbom��dars ie eooced or oe�Woead eAW be e�se�fo��s ddc inod�oc. �� <br /> Subd.? [a[oems�fion rcq�'�d m be�tm��11do�1. M ladivldud�I�e�oo suPp1Y Oefvoee or confideadal dsa caac�nia6 bims�li�I <br /> M lOtatmad of: (�d�e purpo7c and lll�adrd we aE tbe e�d dan Wlebin I�e�itaua6��•P���1f8t0°�°r�owidb�r}�: <br /> (b)whed�a he msy mtwe ab a logd�l lleqaaed m Wppy�me sequesad dan:(c)snY�own�°°90q°�at�siqg fmmbis snpplyioa o��ONi1�1p q�upV�V <br /> pdv�or�0��1 aan:and(��he ideady of ad�te�ns or�o�s au�orizad by sa�e os 6ed.:ta1 ba m teeeiv�d�e dac�. 111�1�qutro�fbW <br /> vesd are dao. oo�ecoon 13.82.mbdivision 5.m a tiw ealor+cemam otFiaer. <br /> rmt 1ippW whe�sn iadividuai is as�ed oo WPP�M is� W�� <br /> er of te�emie <br /> v laee in ind' ' i w�or e <br /> insmte��y;n�ae o(en those tnRes. . . <br /> Su6d.3. ACqu t0 dita by iedisid�l. Upon eeques�m a Kspemlble WdWeIQ�•�11 IndividWL INII 0�INhtmed arha�er he is mc suDjee� <br /> 0!SWud dan on audivf�l�,eed wAet6er it u ela�s'�f'ied as publio.Peiv�or contidClRW Up4A hd f1iRLet 1�1eet,ao mdtv�ul a►ho si tAe 6u41a0i <br /> o!sinrca prnrax or publie d�u on mdividuals sbw be showa�e ds�a uridwoc�e�e to him�Id�it Ue��s1uU be ia�aooed of ine conoeoe <br /> sM�o[dne d�d. Atlte an iadi�id�W has been showu d1e pdwm dao,end I�e1Hd at i0e o�e�aio6,me daa ueed mc be disolosed w hita toP <br /> six mondn dlen3t'R��dess a disp�ue or udon puRvaot m fiia 1�ed0�ts�dtn�0�lldaldOml[aata o1►�e iodividu�l has bem oolkcea or ettu�. <br /> � 7�e eespaasfblo v+t6ori�r shatl providc copies of dro p�lv�os or publle d�w�►��'��divi�sal subjea o[�e darr. The��'Me audwriq <br /> P0° aod couiP��e wpiei. <br /> maY sequise t!�nqu�s�i P�n�Pay dw acotal oout of sN�lt'�.oa'�lyla�� <br /> 'i�aaponsl�oufin�uy shsU oo�ply�d1a�q►.If pe�elote,wl��71�lue�msd�pd�m�is snnd�vision,or wi�lo fiw dsYi of <br /> �e datt o�ide teq�ic.exctudi�g�edyrs.9uadsye�ad le�l 6ollGsys.if IO�a�P�is uot�bk. IEhe e�nnot ootpply wW►d',o mquou <br /> wsrhin dwe tune�he sbsll so infoim die iiedhrldoel.ub n�Y Wve ra add�oml five d�ys w�in vrhieh w�oply wi�me etqW�6 exr�YdiaB Saoordye� <br /> sandars�od l��l ho�ldys. <br /> � . SU�od.4. pruad�oh wb�dua Es not accue�ta o�eomplate. M iodi.i�may conus�r�acwrecr or c�pleenee�oP puelk ar pri�noe <br /> dep cooarninB himse�f. To oxeeelw�his ri�.an iodividuu shall no�if�tt�w�ieit�g d�e�dpoasbli amboa9�des�in��e a�n ot Ne e,�.n`t���f <br /> The esspo�ss�l�audfC�iq�It wifiin 30 dsys eirher. (U WReCt d»dYa FOuIId to EO(Dtcoucs�ee or iocompl�tod aloe:upC W 110�►Pde M <br /> lae�u�er incoaoPlem dt►s,Ineludin6���smcd 6Y�o indlvdual:oe�b)�Y me indN�l mu be believes�a daa oo br aoaoea Dsm <br /> i�dlip�ta s►�au b�aisc�d ody K��+��w��:�ent or ai�6�V�eluded widi me discl�a�. <br /> Tt►�dearai�ndoa of dx Kspoas�"b1e a■mo�icy soqi ba�PP�P�ou�e prdv�iaos of du admiais�tulve p�ecl0uee oc�relodog o0 <br /> conpesad c�ses- <br /> ne�trA �Ri'VACY ADYYSQSY �� <br /> La accordancx wirh M.S. 13.Q4,Subd.2. 'Rie��s oI subje�ets o!d�ta',we would l�re w ir�orm you ri�at your t'eque9t <br /> fo�a per,amic or 1'uxn.0 trom�he Ciry of Omaa or a�r a!!�s dep�s msy r�i�e You to �lu�aish eer�aiu privace or <br /> co�fidenusl infaramcion. <br /> You are aociflea that: <br /> 1. 'L�e infotQlutioa you furaish a►ill be used to detttmW�Your qualifiWt�fo��he peemit or license requ�ed. <br /> Z. You u►ay �se co supply data� but retl�sal may requ�re ctu� c�e City een�►sbe Per�ic oe liceoao. <br /> 3, 'ihe it�ot�ion may be shar�d whh osher loeal,s�ace or foderel eEeaeies co r�.e euest aeces�ary w praes9 <br /> thc pvcmi[ or licwse. <br /> �. If youe tequesLed pe:mit ot UCea�e nqwres Couac�l e�doa co app�rove, some iafbr�ioa ca�y beeome <br /> public. <br /> i. You hava cectiain righ�s uader M.S. 13.0� (mailablo upon requesc) w reviea► ptiva�e data oa yout5elf. <br /> 6. Your t�11 Aame is required �o pr�ess chis aPPlicecio�►or permi�. <br /> LA,w R.a� �A� _.._.� <br /> �—� �� Lu <br /> F�.?r �� 1-� � c. 7 <br /> ���c.e����.� M� .f'�3 3 I —7��—�� <br /> �a <br /> s� z�v paoo� <br /> 1 ut►derst�sld mY ti8�s � s�scod • , <br /> . <br /> � <br /> sigmwro <br />