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ir vr vKONv � �? 6124730510 09/24/9b 14:00 �1 :03/03 No;S22 <br /> � y <br /> • � • <br /> �_l3.oa•1lIGRfB o�atrBJF.Cr9 OF DaT� � <br /> Subd. 1. Typs of deea. ?Qo tlybk ot ladlvidufl oh�bam d��daa h•crored or m be soo�ed�trill be►i�ee loe�la d��eedan. <br /> Subd.1. intnrfa■tlan raqudnd te'��I.q I�i•tdo�l. M 6�Ilvidn�l�ked m�cPPh�v�wn or eonfideeeW dad►ronosrolna blmrel�,cha11 <br /> b0 If!lC1f00J OR (�)d1A ptttp0i0 YtY�hlVAdCd Tl!!0�tllt RQite�s0�d�q rldliQ dic Wllaad�lpte a�epoy.pnWipl Nadl�don,ot Mrti�1 s��n: <br /> tb)�vh.d�.r p.mq roh��e or 1�le�atiy�naufrcd m supply Qi�nqucued dana!cI Mr lomwn eonaqna�ee ariting hbm his applyll�e«ellubfQ ro ropP�Y <br /> p�lvfae b�aoafldiptW daonl+�d(d)Qie idendqr of odterpericoa oreaddu oud�oe�tad by w�e crhderal 4w m eteeive G�e daa. ?h1t tequlremeqc slwil ' <br /> ne��pply wRen�n I,�diridu�i Ir i�ked oo mOply Wvarda�dw das.purwone�o�dnn'J3:12.�ubdivlsion S.co�ItM otlforCent'sm ollk�r. <br /> � 'Ru�samrnlubner oP roverwe mav place�he nodce req�rad un�thi�subdl�iiion la r1��ndlvldual}qe_cme a� aLcro��nd <br /> �E�lIZ���►�-y[an'dw�o tomu. • � � . <br /> Sued,3: Acau a daa by Iedlridwl. Upon.reques�to�ro�patt�IMe wtho�lty,ur lnrtivbual�,all b�Infonaed whe�h�r ba L��svb)ec� <br /> ot nand 4w on iadivldual�.aod wFudler ic ii ol�uit5ed a}publ�C.p(irue or e4nAdnpdal. Vpon 6i�Aie�er mquait.�n ladirid�W wwho i�d+e w�e� <br /> •of srorod.Priraoo oe putilb dW ca Ind{vidada sh�ll ba ehoWn the d�w wiQwut�ury eharp oo hia�tnd:(f hs daft�.atdl bm laPonned of A�e oontent <br /> �ud mtenloE of d�atdaa. Afur on lndividual hai beaa�ho�rn�ha p�lv�ee d�et u�d ia[ome�d of�a aie�nios,Qul d�4 nsed ao�bs dlscb�ed to blm for <br /> d:aooa�s thersa�r unlyi�d'upum e��et�an punuam m ihts�eedon Fs pandlat or�i�tonal�dru on the Indh�ldual6u beae aoWcud nr cratond. <br /> zUs rapoyible�utbpdgr�hall pm•lae cop�a�or�,e prhue or publk d�a upoa ieqve�br d,e indivldoal a�i�e�ofd�e d.n. '(1ie�neapon�le��o�►y ��� � <br /> aiqy tequl�a�mquest�psr�nn ro pry dro aeeual cow af�aaWe6.ar�iiyh►�.ud oom�lllat d�e oophs. <br /> 'the aeiponeible wthodqr.11uU comp�fl icntnedlitnly,if poutbk,aIQ�t�roqt�eet mato pnttuvnt ov dtis�dlrislon,or aldda Ave daqa o( <br /> m.aue or aa nque�c exewain�saamwa,Sundaye ind lefr!holld�y.J��if IirNaedlue torrtpll�ncn U rt�pou(Wo. IFhe amwa matply�r4h d�o neques� . <br /> wltl�ln that dme,he�II ro iNbRn dw Iodivihsl,�etd roay have an�ddldowl flve d�y:aridiin whttli ao comp�y d(di d�e teqw�0.esobid�3aatdya. <br /> � �aadlys imd IE�rI fwlldayt. ' � <br /> Subd.s. Pree�durr wMs dolt,ta ast acaw�ak�a-aampl�e. An tadlridufl m�y wnoau d►e sannap or wmplWenosi of yubi6c or privrm <br /> d�d ea�ownln,�tilrn�elf- 'Co aicarclle rbia tiohr.�n iadi�ldwl ih�ll tionly U�(dn j�a re�pomNk su�e�daaibl��a'n�aro of da Aiai`n•mani. . . <br /> '[he�poadble�uttw�ity sheJ!wi�ba 30 d�ys a`uher. (v coRsac d[e dam Pound w hs u�owein or Ii�omptep�nd�mau�p!to nodfy q�a rao�kncs of• <br /> ia�auaae or l���oplete d�a,Ineht0ln`mlpleqti nvmcd br d�t Indlvldual:ot(b)aoJ�Iy t6e i�dlv�dttpl tlMt he balln/ai dle d�fs t0 be ool�aoL b�a . . <br /> la d{�pute�hdl be dlscle�ed ealy ff�a iddlviduu`s s�armo�o(dl�taam�anc b IncWd•d Wid��e di�cbosed dui. � <br /> , �fi deterntineKoe o�iho a�ponslbla autlwtiry m��bo�pealal puts�uat tu Ide pro�vt:bas e(du tdminicwdve proaaduro�ct rst�dnp w <br /> wt�ne�ed oaet, <br /> � I�AT�A B�►S'Y ADVI6aI�'il ,. <br /> 1n txardonce wi[h M.S. 13.Oa,Snbd.Z, 'Rlght�of suliJefis of da[4'. we would alka w lnt'�etm you thet your requ�ac <br /> for a petmlt or Itcense from the City of Orvno or aqy of its depaitm,ent' may sequlre�you to i�trntsh cectetn prlvue ur <br /> confidentlal Infocrostion. . <br /> You�e notitied tlsac; <br /> 1, 't'he Wtoimatlun you furni6h wiU be used'to dccermlae your queliticuion for che pernaic orlicea�e tmqueaced. <br /> 2. You uury te�se �o supply data, bur ret'usal way �qu1r�tha� t1�e Ciry det�y�ha�'t�m1t or ll�ensa. <br /> 3. The inEormazion mey ba ahared wicb o�dar locel� arace or ftderal agmciea to the exr�ni nec�ssary w procese <br /> the permlc or liceaae, . . <br /> • 4. . 1f your requeiced pecmit or Ilcense requfrec Co�ia,cil �edon m apprave, �nme �nEor►netloa may become <br /> ' publk. � <br /> S. You have c�eaaln righcs undec M,s, 13,04 (avntiable upon roquest) ro review pdvate dota on yoursr�lf. , <br /> 6. Your full anme le nquiad w proccss,tbis app�ic��ion or per�nic. � <br /> . Pi�sr �► ��M�ddlz�� � ' <br /> :U.�����'= .� - - � _ . � --- - - -- . <br /> �'n,� ; .. .� �. 'C�1��s�.��a �2�3�I5�- l�Y„� . <br /> Clq ' • • 800e ZEp �kon� <br /> r <br /> ' �•undarstand my dglice �w ua�ed +,ybove. • <br /> �_____.__.�.. - – : —�--- - <br /> 81Art�turo . <br /> £/£ ' d 80Z9 ' �N S3N0� a3a13 WdZ�� I £OOZ ' Ll ' I �� , <br />