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<br /> $es.13.O�i�Rib'ATS OP 6LlBJRCTS O��AT� � ' .
<br /> Snbd.i. 'lyrpo ef data. 'lt�e eiyb�s o[1m31vidu.l oA•bom�s m�Iraro�ed oe?o ba aao�ed abyl ba►'s�e(enh In shii seadaa �
<br /> Subd.3, Iaifoem�ttoe re'�adrrd tn��Indt�{dasl. An IadIvldud aslcad tti�PIY prireQ o�aanfideeb�l d�a cona�talag himzolFshaJl
<br /> . be InL'o�ed of: (��ho parposm ae►d Uneaded u�e cf du seeruesxd d�a arid�d�e coikod�inrc agcaar.pelklcal aubdi�►tsian,or sdr�.�fde aq�c�a:
<br /> ib1 rhethar he maY�N�a�1�laplly.te9p�m�PP1y the paqueaed dotat(o�mry 6omvim soas'cquaaee'ri�ing from�eupplying er:sllie�ro atpph
<br /> � ptnr�e or�eaollde�[lol d�a;aad(��e tdeadq o!od[erper�om orend�e�eudue�adby su�e orfodsral la�r m er_eeire�o d�. 'Ib[�tsqu4emeae�ali �
<br /> �ot appiy wluo tn Indiridue!b as�ed oe mpply inrad�4dvo dss,�usua�tt�o saedon'13.81,:ubdivlstoa!.ro�Ifw anfbiecntent o�oer. .
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<br /> , �n,�� g�jS�ner aQ oveaue Y OIfC�t�l� o�ice rsm�nd y���u6�vi in Uue lullgid�,inmme ax�aropst� mz:ml�rid
<br /> -�""" �a�u�u_f oa' w fene�� � . . . . • , .
<br /> � � ., �ned�3: Aeeaa io dela�y►f�dMdusl. Upen�equest co a le�pantible w�o�1�y,io 1msiWdual shad 6e i�Posraad ahorha 6o Is the au6Jaec
<br /> Ot Io01td driL OII ILdiV�W1f.i�d Wh�d10f�t ii C�i�slfied a�Pub1iC.p�iYf�!0�CQI�IIdtN�� VpvH hif flIIdIGT�11CSi.Al11Dd1VLdtt�Slr�p 19�S�JdCt �
<br /> ot�oomd prk+am oe publi�de�a on todh�dual�ehal!be abown�ha das ald�out aq ahar�e w him�nd:u he de�leea.ihe116e iafo�med aF�e eotuent
<br /> o11d IpRiffM6 of dUtdola. Al�C���t+odlvid�lal bi9 bean 511Gwtf Ihe�Id��a den ead inEoc�med of ta a►ewing,ihe d■v Qoed doe�6e disele�ed m.him Par
<br /> a!��a+d�t6e�lFer ui�leu a di�pa�e or a�oo pnewam m rhls ucdoa d peedh��or sddidort�l daa ort the lndividud l�u baaa odie�nd or erealed.
<br /> 1�ts�po�ble�pt6Qriq�il p�ovide eopitc�f ehe ptivam ot public dam upon�equae br�e indtvtdwl ntl�jroi of tho de�s. Tlte Mtpoiac3te a�hotlqr :. "
<br /> rney�oq�flee aAe m44eRin�Paes°�n ro i�Y dro aCtuel eoss�nP a�lm�.ee�diyino.�ad oomplll�d�e oap�i. .
<br /> '11w aeapoe�cbl�au�boriry.�compi�ita�ntdtudy.�f po�siDk.wi�a�req�ae meda puecuutt ao�lx�aabdivi�ion�or arid�lu 1i+�d�,a!
<br /> t!��ce oEtbt ra�sr:exstqdinQ 9aate�days.SwdaYs�nd leg�t holJday./��P Ntp�d�il6 CDlIIp1�tIGC!!1�p0lS�bI0. i¢�p C81�DL G0�WWI{�10 RQUOf=, , .
<br /> aid�in�ac eLoe,hv�ball so Hdbnn dro iadivWu�l�aad�y ha��an additbQal�ve diys al�hin whlaW m ee�N�ridt ebo t�qu�,oKeprdleg S�mrd�ys.
<br /> �Yi spd!�1 kolld�rs. . � . . , ,
<br /> Subd.�. Ptee�dne�w6�p do�e�net aeanrah or eomplue. M b�dlviduel nW►eo�st tds nc�susaj►or oompluen�ef pu6qo orpriv�m
<br /> dva mKe►nlnj b6xtelf. To w�et�isa rbis dght.en indi'viduel a1W I e�o61y i�s vtldna�ba te�oos�bk eud�oriry d�etibing d�e neotie a(dw dUuseoe�ent. . .
<br /> � 7be totpo�l6la ipthor�t shdl r�idcin 30�ya eir�er. (V carteec dte data found a 6s i�tue or brcomplm�4d a�oempt 10 oodfj►pue�oe�knt's oE•
<br /> i�oaura�e o'r G�an�pt��e d�a,tneludln�n�ciptew�ama!b�d�e indiv�dud:a�(b)mtfly.dta Indiris�tlot qN�ho bWlevas d�e d�m 9�eo�raae. Dsp . .
<br /> la dl�p�re aAall be Nmclosad�uty if�hs iadlvidtml'S snmaeni of dlnqtnemr�u b Incl�dad wlth die d(rclo�ed dati � •
<br /> 3'he deoemtin�on o�ehe s�spensiblo�urha�iry mef ba app:aled y�+�av�oe m�ptovisiooc ol du aami�issridve praeaduro�teladns o0
<br /> CO1100.A0d CABp. ' • , � .
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<br /> , Ie}�oocds�+(cs wi�M.�. 13.0�a,Subd.Z,•Rt�4�s of su�jefte o�daca',a►e+�rould 11ke w�nform you t�at yom�nques�
<br /> �-- �r spenmic or,�icetsse �t�om the C1ty oF�nn or aqy ol�its depanm�uira;�ay re�ulrs you w tl�rn�sh cenain pr[vate or
<br /> coafidenti�al infom�ateon. . ,
<br /> '�att aze no[l�ed th�r . � , -
<br /> !. 17�e lnfoimec[on Yeu luraish will bc u:ed'to daearmi,ae yuur q�lificuio�fer the permit or lir.�ase r+aqtua�ed.
<br /> 2. You m�y► rafine to auppiy daia, bur tehisol may roquire zha� che Cfcy dmy ctu pecmlt or li�conse.
<br /> � � •. 3. The i�farma�lon may be�sharad w[ch ot�er loeal,eca�or t�ederal ageAcies �C�he ax�eac nec�sas�y_�o pmcess
<br /> �. �he pamit or liceesa � , � .
<br /> . . ;4., . If yaut t'�q�aeted �ecmit or licanse tequtre� Cou�ei� ae,t�oa co app�e� eome iot'onaubn �► becomc ,
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<br /> � � S. You bava cer�fn rlghts under M,S, 13,G4 (av�ilahlo upon reqmeet) ro'reviaw private data o�yourself. ,
<br /> 6. �.: Yaur filtl namo fa required w procesg.tbL app]icauoa or permic. . � '
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<br /> ' !•u�deuscand my dg�te�s�s�sed above. . � �. � � . � � .
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<br /> �/� 'd— 0965 '°N � �ui �� iu�aad sauo� aaPl3 � Wd8E �8 �OOZ 'til 'add ' �
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