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CITY OF ORONO � 6124730510 01/29/99 15:201� :03/03 N0:257 <br /> 8ee.t3.Of R1GHT8 OF BUaJEC'iS�F AATA ' <br /> Sv1d. l. T�st doea. TLe�I�hu of tadivldual on�rhom tha d�ta i:uocad oc m be saortd thail Dc a3 ilet[oc�h la ihi�iecdon. <br /> 9ubd.2. Ialormtefen tyn�red to M Ri.ea ladirfdwl. .vi iadiridual uted ro suDD�Y Drirste o�coalldendsl dan wacetatn;almtslf shsl! <br /> ba iolor�+sd o!: {al 8��purpo�e ta4 iamndsd we of d►a Rqvared dso w3�ia�dc aoli•cd»�ta�e�{�ory.PcU6e�1 fubdlvtsion.or sQtevv�d����am: <br /> (b)wh�ds�r hs a�sr nl4ie or b.te=flly reqvi�sd w upply iLe requesud dasa:(c)�ay�nown coasiqu.acs aruia�isam oi,.vyp�ri��<«<Y.:���.,,�p�;r <br /> � s. . . : , . ,., , ., . . , .. � .. . �. ._.._��........,...,....r..a,.. ,,.�.....,,1....,.�..�,r� <br /> pn�sw oc co�uwenaa�ww:anu�u�m�w�us+p crc uwcr pssavw vr anuuw w�..v.u..v��-�_.___ <br /> ,..�...__......- ._.^-..-—---- ----�------•---- <br /> _ ti.,..s...� t»wi,.�w,.,��...4.A. ...a.,o�.....i�,.r...a,� ,.....�.�,■.r�ie,n ii R2 st�fidivision S- m i Eaw�tltolCf�EOt 0(flCR[. <br /> .._._��., . _._.. _.._-- •---- --- -- -=..--• — --- -- - -- �---- <br /> TAf CR�fUSS�ffIQiltf OI RYC(��,a1�Y pIACC G RO�G recuirQd undat Rtsis�`_'�witien ir eh� individval irtcAra��s_ot eroaertv nx nh� <br /> j�ievedem in�tad Qfgp se lortni. <br /> Subd.7. Aecw to dsta�r ladt+�[duat. Upon reques<<o s estpon�ibk w@soriry.an iadi�idua!sdall be inlonecd was�h�r�s b rAt aEjee� <br /> �t.eersd�sa ew ie+divirlu�ls.u+d whether!c!s elaaslllaQ u ouDUc.orivsee or caMdsisd�. Upon hls f4nGo�tsque��,aa individusi who 1�dst s�Ajecc <br /> ot�soted pchate or puMit dao�oA lndividwls tAt11 bc tbov�a tAa data without wy chat;e Oo ltim�aE:i[Ae d��icei, �halt ba infoc�e►ed ol du eoaunc <br /> �ad�su�iaj of�at dan. Ahs��n indir(duat haa been shown d�e priva�a daa and info:mea oc�u meania;.me wo nsoa aoc oe dixiosca�aita iv� <br /> ,. „-_. � ..._ s._ .�a �.��„���..i w.�r�.R....t�a,,..w w..w.e.wA <br /> ua osOn4Lt auttatur utua�s i disputs or g • Pe �s���.��w..�•r ••��•••• •.-.-.------•__.._... -�----•----- <br /> udnn urwan�w uw sccnon n nuu - _ _ <br /> �" _"'� w� ,,, � ♦an ..:,�. ....t�.,.sa.��,c.,....,..�,..AI��J�.ti,�r.ww...,,:'.r Av�hw ir�r�+yict��i1�UbillCf oI tFIE 1��t1. T�0[ClObftllDta WtISOAtY <br /> .......r......... -�...�..y..�.�.�.�����.._.._.��........_'r--•----- . --•-• . -• -•- _ <br /> ,nok rema[ra+he*aou�+dnr oenwn u�asv rhe;cnaal coss�a���akLtiq,cardfvSn$.uid wmpilfnp�he copias_ <br /> � T1u nspo�uibls aud►orlty ehtit eompiy�mmrd�asaly.if ponfble.�EQi taY eequast made purs�ant to thi9 subQivision.or wifhtn itve Qays o� <br /> t!►�dsu 6lrhs nquue.�xehrQil�j Sfeurdays,Sundays and lega!Sotldiy�.1(ilMltCltl6 C9R1pIUCCG t!IIO�p03Jlote. fi f1C cat�vc wmpi�w�iu�u�a cv�y�ca� <br /> . . . .. . , . . .. .. . . . ...r .R a_, -..:h'.....lS.f..'��..l,,mirA.A.wew.•.w R��1nMnw ts�N'AaV� <br /> WINY1 QYl OAU�cN+uau W unvcm��t�uivwvat.141Y li4ar N��s�i�uulw�w+u•..a.�a...rr.-.��..�.�...�.i ...�—' _'�_.'.,':_"'_-_�' - _ <br /> w.._•_...,.,.��.r.r�.u��.,. � <br /> r......�....�.��....�..��.. <br /> Subd,4. �ecadur��.heo dats b no�accunte or eompl�ts. 11n iudl•�idual nay coneea�d►c aceuncy or eacpUeenaa o[pubik or yevace <br /> das eonern�U��htnadl. To�:erciu dsls dgh�.�n iadividual�fiaJ!nolify Irt urtttftf�ttu responstoie wa�oriry dsscrioin�v�a oawn ui a�s w..r.v.�uvu�- <br /> ..e., ..1 . �.r«��...tA,w •�w�iwi�w��n/ <br /> �1710 Afa01UIDlt�uQ�otip�7nui wrtn[A iu uar�eiv��r. U!correc��cra u��r iuu�w w ira�r:.��.-.»t:�.:�:��.2:..__C�:�.�^__'. .�-----r----- -- <br /> -_',-+.�_'..._"..._ :�!••�c_^~.c..:...... ....: ►.,.�_:..�cy}a._,�-�,r��,.nA11.e1��inAiviA�i�l tlfa(he 6eliave�t11�d!a tO bt COTRtC Difi <br /> wiiww.�:::.. . ..�..�.� . �.� ��.�....�«�...� �� r. - ' ' - -• . <br /> Iw Ais.,��er•h*tl M Aiuloeed onlv if the ind[vidu�i'�smeemenc of a(ssaroement b Gxluded wiih the dlteto:ed daa. <br /> � T1►s deuetnin�don of Ilae respomiblt au�hodry rtuy be�ppaslod putsuane eo tht pror�sfons of the tdmin[ea�dve procaduie tec rolada�to <br /> coau�ad Cua. � <br /> � a�r♦ MnTff�I►V ♦T'lI�C��V <br /> ���AL6Z7AVA ML��..r <br /> Li��,rdarit� wtt,`.."•:.S. :3.C�,S:;b�.2, 'R:g:u�f aubj:�s�!Qata'.iM����uld t�t��r�i�fotffi y4u�td�a�yeur request <br /> . . ,..�t. __ +t_�,..� 0���. :5.. T`:«.. ..i I'1.�...... �.� ...... ..i i•• .I.w��.n�Me rn7v r�nitir� VRII tA IllT►}1t}� ICRAl�1 nrivate or <br /> �V� i yFiYY� Va •��w.�wr •vVw►u.. �...J v• v.....• �. ...y v. ._ __t.�'.._�..._ . ... ., � .. .._.._. . . .. <br /> _'� _'y__' • <br /> -rrt�-_'e-� t_P�..�....�� <br /> bVW�YYY►!W ����V���W���va�. <br /> You an nodfkd thu; <br /> t The in(nrm�i�ri VOt�filRilSh will 6e us�d[4 dCtC[IILtAe YOU[QUS11f�C8tfOII�Of tt1C�ttT�t O[�ICG[1St rQQtIG3tCt�- <br /> � Yeu �$v r�ss co su�olv daca. buc retusa[ mav renuire that th� City dtny th� permit or licta�e. <br /> �t 't�e In[4�s+s�iaa rnav be shared wi�s o�her locai, sca�e or fcderal aqencl�s co che etcenc necessary to proca9 <br /> ►he eerr�ll pr 1�Cta9s. <br /> a_ It vaux reauesced aecmit or licease requlru Couacil udon to apprave, some information snay becomt <br /> v�sblic. <br /> i. You have carcain ciahts under M.S. 13.04 {a�all�►ble upaa request) io r�viaw pdv�te data on yoursett. <br /> 6. Your tull nacti� is refluired to proeess tbis applicatioa or pertrtic. <br /> /�i�y�a1z,r� L _ C,�,2 < �, �-.: <br /> Fitu r .�.—�.. Mlddla Last <br /> /5 v 5-- C�/'c�,giocti r9� ✓�✓�.------- <br /> Addreaa <br /> L�;vy--u�,�.'x�-_ �,�1 -s-.3i�'� Yo y•d���� <br /> Cip� Snee Zip Phoet <br /> (understand cny rig ts as acaced ove. <br /> --- <br /> �—� <br /> ---- __ _ <br /> Si�nutsa <br />