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McPHILLIPS BROS 6517702891 09t25t08 12:07pm P. 004 <br /> Sao-25-ZQ03 OB:08aa Fran-CItY OF ORONO +9522484616 T-185 P.003/003 F-138 <br /> See.l3.��G�OF�E��S OF DaTA <br /> �„�. 1. �L�pe of dua. 'ltJc riahn of aidividuel oo whom�he dara is rered orw be swmd sball be as secloNf ia dvs secDoo. <br /> $uEd.2. lalora�acton t�9u�to be prw tndiridml. Rn it►dividud uted co wpP�Y Ori�au os cenlWrn�'at dua concecdrig lpcoselE sllsil_ <br /> be Worn�.ot� (4)����D°ie aad'mtended use of tbe ceq�tesud dao witEia�e colleedng sta�e°�e aris�iaBl�om W.�Ppvi�ln�orre�lW�in�g co an�PD <br /> (p)whaher he mar zeNse ot i�kgally rsquired m auPPly�ha re5uesud dap:(e)s�l hw�GO6�° <br /> . Qrivaae or eoofidendd dam:nnd(d)Iha idend9'nf othc�pefsons Pr sod��wdf�o��13,83��vbd�'�v Sion S,co aelew enfoti����rotne ahvl <br /> nae aPp1Y wt�en.n�edlvidwL is aslcc0�s�PPty iav�:dgaave�+.pu <br /> .�.. �� • n X p C1x <br /> e o missio e v IAce Ixd nnd is�u <br /> (nsyruetinnc yttesd of��4l�� <br /> SV�bdv 3. ��w data►+D'fndividual. Llpo��ese a a m:pomibk aud,oriry���ividual shW be lmtotmad whetl�er ha iS�he subjoct <br /> of seen0 d�n on irnli�idu�ls,and whe�ec K ls clauitted.s public.privA�c or eent'idenehl. Upoa riii fnnbee re9uesr.sn iadividu�l who is d�e fuhiect <br /> of stored,privtte o[publle dau on iadividuals�E�ll b��hown�t dos wid�o�t any cbaigc m 1w��►d'if lu desiros.s6all be in(oaa�d ef IDe eonaenc <br /> tnd�nin6 oFrtut dua. Aher an G�divid�w2 has 6eer►shovwithapcivsr�dau nod iRE'�idonal da�on�ibe indWdiOuu as be neooll�'eeud o�s�ced. <br /> �i�mon�s d�crtatser uNess a dispu�e or scoon purswm�rhis seadon is p���'3ue�� �e it�divid4d subjeet of tho da�a, Ths re�poasible w�ociq <br /> ,�����Q�iq,�p�11 providz eopies oI fie.priva�t or public diw upon t��p����ics. <br /> �qoY r�quicc d►e requaw�s P�tsen to p�y�e acwal costs of mak6+t.a►4fY��. uest mede pur�wnt m diis abdivision�or wid+in fwe days of <br /> Thc asponsible eud�oriq�h�ll eomply'vnmediarely,if possibk.widf anY�! 1 wlm rAe ce uen <br /> �6e dsa o[O�e aqweu.���^g S��tY�,stl"daya sna k{�Lb°tidayx.if inunediase eempliance is nos possible. If he cenmc comp y 9 <br /> wiihin Q���dm��he shalf sa inform�6e individuN.yfd maY h�vc an addiuonal Ave deys wtidtn whkb m comply wi+h iAe rcques�,sxaA►dios SoaN.ys� <br /> 5undaYs*ad.kSal boildaYs. . <br /> Subd.4. Proaedare�►hee d�a L�°°��eaurate or compWa �n fndividwl roAy co�s�.rhe acaur�cy or cempkaeaess of public ocpdw�e <br /> dw eoncorn�ng 1++mc�1[.To exetiise�is ridu.sa individual s1�aU noufy in�ddns�e�Po�i61e au�q describibg d►e nNuN of a�dl�ag�m°�. <br /> The responor ineom aqe dsm11 uu��e�iPienae�med by�i6e individu�l;or(b)nodfy�hc mdtvid�that fieAb ti�wesp�c da�o be o�`�r: Dw <br /> inaeeun� @ <br /> ju dj+puc�shsll be d►Stlosed onlY if�+e imiividwlb smt�nenc oCdiHtgratncat is included w.i�l►rhe di�cloE ta. <br /> 'Iho dtreRnino�n of d�e rcspoesib�w�o�a may�appadad pursuan���c p�visio�u of tbe ada�inis�sd•e A��"K������i0 <br /> ronws�ed caeed. <br /> DATa YRNA�'-S' AD'VISC�f <br /> h a��prdaace with M.S_ 13.04,Subd:2, "Rigbcs of subj�s of data",�y�qu�o Iof,°��6 ce ain priv�ace or <br /> for a permit oc tycense irom the Ciry of Ek�one oc anY of Ets pa�cme:us <br /> confid�nual iafnrmation• <br /> You are.nocifiod thac: <br /> j, 'the infonnacion you itiunish will be used to decermine your qu�liticacion fot ihe permit or licenu requested. <br /> 2. You ma� rafuse ca supply data� but tetl�sal may re4utre that the eicY��Y�o��ce�sacy to Process <br /> g, . The infornma�ioa may be ahared Wis�►o�er local,scace or fedetal gg ttci <br /> �he pecmic or license. <br /> 4. � rf youc r.eqpcsted pecmit or lieease tequins Couaril acdon to ap�nove. soa�e isform$�ton may become <br /> public. � u�� ��Te�r;e�r rivate data �n yours�if, <br /> 5, ynu have ee�tain rghcg under M.S• 13.04 (available u�fl� ) p <br /> 6, Your full natne is required io process cbis appticacion oi permit. <br /> S' � M� � Las� <br /> Fiest <br /> ,�d«s � N o G �� 7�0- o� <br /> �,� � r�ro� <br /> Cid <br /> I uude my c as s�atEd above. � <br /> Slgn�a►re <br />