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Apr 29 08 05: 10p Stieve Hackes 612. 825. z030 p. 3
<br /> `�y:.I.1.04 RI[:IYI�ti Ol�tiUISJl:Cf3 UI�17ATA
<br /> Subd.I. fYDc:uf�I��tH. Tlic rl�ls uf indivi�1ual on wtwm ihc Juis i�nw�cJ v�a,bo monxl Kh�dl lx:�.+���1'onh in d.��ruction.
<br /> SuMI.2. [nlcxmotivn�cqu�mcl u�6e given�nJ�vKL�nl.An inJividunl:•�Fal In nipp{yPrivAtc prconlidentiul Jnl�cpnc�Tninqhimx:lfshull hc
<br /> infonned o1': (u)fYw��r�x,.c nnd intcnJoJ v,��f thc requcy�eQ J:.��within thc ciillw�i�q;clJl�:agcnl'y.PqI1LiC9I HUblIlYlSIUl6 Ui dl01CWIUC&Ytil�'nt�(U)
<br /> wlx:die�l�����wy rctuae ur is{ei:rlly r�:yuir�l w yupp�y i.ne rcquesiea d:14l;(e)uny known cu��.tqacncc„ciring frvm his eury�lyiri�:i�r rolii�+ing�u supplY
<br /> pfivo[e urcunl5dcn�iLl Ju�i:��nd(J)�hp�dc�uiiyofothcrperx•,�+�oramitircm��b��r;aad hy.tnteur ledeail f�w iu reeeive(I�chlx.'i'htx rVtlUln,4�ll'tl(sh:ill
<br /> nou��,�,ly wl�on an indiv�ct�od tv bN�C[G 10 9U(1}7IY i��d9li�allVC OIIIII.1,1U�711��u11 l0 HCC[100 I,l.M2,�{uMlivinion 5.Io��I�„r a�ifa�rcomcnl�1��rCcr.
<br /> Tli��c�mini5}�ip • �-••fCQUICt���ndor lhiS SODQ�yI,�+iun in ihc in¢iv,l�7���1 incnro�:tnx or u,�p{�pv�ax refun5l
<br /> LL�S�.LQR�IV.II�.lntiica�l of on Aio�G.1.o��
<br /> ,�up(1,3.Accc:u��o c1o�a by�n1I�Y1(IL{1I. UE100 7VyLGKI Ip L K'i�IQRLIbIC PV►�Mril�l,a��individual ShP�I Al'4�IM7AblI WIIQI}II�T I1L`1$IYII fiUt1JOG�U�
<br /> y�orcd da�u on indivi�lu;�l.r,:u�d whc�hcr it is cl��xri�ird=�x public,{rciY:��c nr conlluentlat. upun���k runncr roqucx�,.in individuol whv i��Lc nubjcot oi'
<br /> SIOi�eJ p�iV:+IC o�(IIIDUC d:llU 011 iPdividualn ahall be abv+wn Sc dntv withuu�����Y alvuf;c ie Aim�md.�f bc dcuircH.�hull l+e i��f.utincd of thc cunl�m Hnd
<br /> mcuning ul'th�+t Jr4�. h�1cr an indiv�Jual h�!+b�cn yhown Ibe vriv,�tc datn tmd iidonn�rf pl'I1H mcnning,���`�1aiu nceU nui Ix`J�wc�oncd W him fv*,�n
<br /> monthn�hi'�+c�Mr unlcrix u dispule or e�linn purvuuat lu lhis ucction iN pcnJing Of udditinaal duln un ll�e u�Aiviilual has bodn�:011cctcd or croatcd.Thc
<br /> rc�+��onnaiblc uuUw•i�,y.1.;.11 prwvide copie��f lL��)riv�lC 0!pUh�iC llnl;i�iP�i�rWucal bY Uw in6iv Wuut yubja;�u(pk aa�n. lTo n:apu��.ililc�u�hori�y
<br /> m:ry rcqulrt Nc�c�uc.r�iny,p�ryun w puy��c i�Glual rn�la ol'muking.cc�i.�fr;nf,,nnd comp;lir,F;tl�c copicu.
<br /> The rcspon��bl�,�ud�ori�y ahnll cumply InlnuediAldy,il'puwiblc.with kiqy reclue+t umAc purvuun I to lhi.�uAdiv ixiun,ur with;n fivc d�+yN af
<br /> thC Qu[c of Ihc Ic�uC�t,CxC1U4ifIF SAtUTUny6.:w�da7s nnd Icg�d hvliJuy��f immcdiutcoarmpli�+�.uc�x not puvsible.If li�cA�notcorrr�ly wid��hc c�v�wCRl
<br /> ..�d+�n ih:��iirtrr,hc sball w+in(ntu�ih�iudividu��l.i��,i)may havc un�rddiiiunul I'ivt�I:�vb within wh;c1�i��cmnplywlui(ne rcuvcri.�xcluding S�aunlA,y�,
<br /> tiupdnys�:ui61cga1 hnli�l:�yrc.
<br /> SnbA.4.ProtcQurN.whe.n ci�tn iKna u�cunrte ut rnmplctc.An individunl mAy conkelille uc�ur,�cy nrcomplclencss u1'pubtiG pr�xivnl�dtiUi
<br /> uonoorningl�i�n.clf,Tc,excrci�ctivvrigh�.a..i��li�idunluhallnolifyirlWc'itiq!!U7CCCup(mS1bICF�uLIIOfYddCiiCilI7171�1FIC11i�IW'COPlBCQ19U�;fCC[YN,hll.TUC
<br /> r�:ypnnsiblc uuthoriry sb�dl williin 30 Unys cllticr. 1��)Cori'CCf IhC GRItI RIU�U Ic�bc inaccuruLc vr incw�q�l��.c nnd nttompt lo rKiiil'y Cw�t rccipYantv�f
<br /> innoC�.mcp rn inoumplolv iAilo,intl�din�;rccipienis narneJ Ny�hc iedi�idw�l:�r(b)i��ftify lhc iqdivi�U:��llcd h��ICGOVOti U74•�11151 1 V�k��OfCeCI. D71til lf1
<br /> di��w�u shall Ae Jiseloraxl��nly i�tne InalvlaunTa xlnienu���nfniaatircemem iy inc4�Jed wi�h�t,c d��.�lw.:d J„�n.
<br /> 'I'hc dciom�inalion ul'i.he reaponsiblc autfwnly muy bo�ppenlal pur,yuon�to ihe pmvisiuns ul'thC adrriini!�tr�iivc pmceJuro aci.n!I�un�to
<br /> cunlr�kKl c�.acs.
<br /> I)A'�'�PRIVACY hDl�I�C)RY
<br /> (rt accordancc with M.S. I 3.04.Suhd.2,"Right�uf�ubjcCts ofdata",wc would likc tn iaform yuu thut your rcqucst
<br /> for u Dcrnlit or Ncensc tYam thc City of Orono or any o!'ils Jcpa�Kmcnt;ma7 rcquirc you <<�furniHh ccr7rrin priv�to or
<br /> conliJcntial infonna�nn_
<br /> Yc�u are notificd th:il,
<br /> 1, Thc inforrnxtion you furnich wi11 be usc4 to c7ctcrminc yuur qualiPcation for ihc pernii� or liccnsc
<br /> requetted_
<br /> Z, YOu may rcft►sc to supply dau�,hut rcfuxal mny Rqu�r�ehat thc City deny thc pC�mit c►r liccnsa
<br /> 3, Thc int'ormation may bc shorcd with alhcr [uGnl, statc nr fcdcrsl aKc:nCies to chc cxtcnl ncn:ur:su:y co
<br /> �roca�s thc p�rmil or lic�nsr,.;_
<br /> 4, If your rcqucatcJ perm���r liccnsc rcquires C:�unc�l action to approvc,�Umc�nli)r�n��iplt TII,.�y bc,`aUmC
<br /> ��ublic.
<br /> 5. V'ou l�avc ccrc:ain r;ght.undcr M.S. �3.04(i�vailablc upon rcqucsl)tu rcvicw�rivatc data�n yourcclf.
<br /> G. Your full oarnc i�requircd to pra:css t11i�anrlication or permi�,
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<br /> Cliy tilrle 'Liv PRonc
<br /> I undcrstnnd y ri�hl�c az!�lat�d bovc�
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<br /> SignWn�rc
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