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05/21/01 09:25 FAX 763 559 2202 BA LIESCH Q 002 <br /> W-18-2001 04:05pm From-CITY OF ORONO +9622404818 T-076 P.002/002 F-018 <br /> OROm ADM=STR=SM OPPICSS . <br /> INPO,RbW:tON DISCGOSM RZQ=ST , <br /> B33;=SOTA GOVXPMMT DATA PRACTICES ACT <br /> gEQXTESTRR ROTE: •- <br /> A Reeuest Frequency - Private' Data on individuals- After you <br /> have been supplied the data and iafQ=4,d of its me" ng, the <br /> data, need not be disclosed to you for six months thereafter <br /> ur=�.ess -a dispute or action is -pending or additional data 14 <br /> you .bas•-beeb. collected. <br /> a. You Keay be rec_uired to pay"aet'ua2 costs is �akixig, <br /> cert.i.fying and/or comyiling the coflies of information <br /> requested. ` <br /> Date of Request: . <br /> Requester Name: <br /> AAY az�ss: J3-e-100 �s-�'`` ,4� _ qty, <br /> DIV <br /> Zip: <br /> e Pboae: s/ I Sus3,aess: 76.7 /Y 317 <br /> Hum <br /> Description of Ts�o=ation Requested:, r► ,�r� ¢- <br /> Cl q <br /> Rea_'aeste=`.s Siguatvre: Cap <br /> BELOW SNFORMATION TO l' IN BY DONLY <br /> Z Handled By: <br /> Depa=k=ant: <br /> vlMa3..l�_ <br /> Request Type= _„_In person , �� Phone <br /> Subject- Of Data Not Subject of Data <br /> gegttesterS <br /> By: <br /> Iaf o=at_an Requested is Classif:.ed: -Z-?tiblic Private <br /> Confidential _ Non-public �Protected Non-Public <br /> P <br /> IS: �Approved <br /> Denied pPproved in_part <br /> Re�.rks/Co�eats: , <br /> Ant�ori.zea Signature: <br /> � S <br /> Pecs:. ex Page Total Due -- <br /> No. a Pages Rate p <br />