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•Aug, 7. 2003 10: 53AM Elder Jo�es Permitting No, 0210 P, 1/1 � <br /> • -- ----• - ,� �.�i`*�dV��a . 09/�/+/96 14:uu �1 :Os�a3 �1oe 52a <br /> � y <br /> ' . ` , <br /> 9ac.13.04��iGAT��P SL18J�C'f�OF�A'�� � . <br /> �bd. 1. �oP dota. 33e�gbes of�ndlvidiuf oe orbom ehd da41a-s�omd os to b�smad ahaU be a':�ee f�ted�la d�ucdan. � <br /> 5�.1. Yefo�atla.requdrod to bf�+ad ledioklml M�dlvldual asked tu euppiy p�lvete or aoaAd�ea�v daa caan�rnlag bim�elf ah�Jl <br /> b�Int��d o[� (N�o p�upoae and Ins�aded I�se n(du s�quemd d�wld�lu tLa wflec��a�e sgemSr.poUdi�l aubdi��or sdtb+dde qs�era: <br /> . lbI+�er h.m4y mf4se or f�le�rlly t�quired eo�PP�y du 9equ�ed de�;fey�1y 6me+wn eoos�un�e�aef�ln�}�+m h1a suPPly►�g nr seAiemg ro mPPh' <br /> ptivste oreaaAdeett�t d'a;and(d)iAe�densab o�odie�pet�ons oraeaas audcorlud by ww orf§�ev11�w m�1Ye Q�e dim. 19►[9 tequliemesu�ell � <br /> �ot eppl9 when an l�diridua!(9 a�d ro 9nppiy Invo�a�adve daa.pu�suaai to�aedoM1'13;a1,aubdrvtt+na S.to a 1��eafo�rotd�t otdaSc , <br /> , . � .� <br /> . 'rha comm�atortet Q (�y_a��q,v,i�jae��e nndex tem�red wiQet rhu�6diviYipn I rhe ind[v�dual lnmrtu��C or oronenvi ce� ed <br /> """` hu,_�:do,pB.it�a��[�n�ihoze��s� ' � , ��'� �� . . <br /> � . �uDd.3: Areaso�n dsa by lndMd�l. Upon erquest ro a supcasible wt�ority.�n 1mdEYidu,1�11 be i�tbrrnad whorhsr 6e b�e subJecs <br /> ot�roe�d d�ra oa I�ridnal�.aad whedter u u claa�lPied a�Pub�ic.Pprare u�con,tl�eadal. Upoa hia Yuitber nqwst.�n i�di+�ideW w6o iq tbe�ubjxt � <br /> ofi�Ds�pri.4m oe pub{1�dw m iediridual�shill be shoa►o rhe daq ar��ou�aed sbae�e w hfin ead;i�he du�leei,ehell!»lalo�ed of�e eon�nc <br /> and t�8 of���.A�m. xhet oa tadi�;du�l hat bao�a Qhr pdvo�e dw ead iato�ot lo meaatag.the t���root b�dlsela�d Oa.hlm fcr <br /> ai��oad�s d�eraims u�las�di�pure or aaioa pursu�as m�hls�ea a D=Mb8�r addPdonal doa oa Q�s indivEduol6a�b�acllesnd c�ereaEed. <br /> �e tespa6�ble�ulhpdq/ah�it Dtovido oopia�of rdc pd.ue at publk daa upco lequeae E�r�6o individuat al�j�er ot d,e d�. The tesp�at�de w�borlsy .'. , <br /> �!►teqpife the m4Ue��Fd�soa ro pry d�e�r.tual co�o of mahin�.ee�rin�.�ad eampll�d�o eepfre, ' <br /> 'Ilie ee�ponefble wrlwriey.sball comply hanaadlamly.it poxJbla,rl�s�r nque�t mado pa�u�tt�D�is�bdlvls�on�cr wirhla five d�y:of <br /> the dtoa af iQe tmduesC ea4ctudin6�td�.Ps.SundoYs and te;tl holld�y�t►(P l�6medlare eotttPllanw L notpo�s'bk. 1f'�e eaerre�o0mply wW�die reqvas� � <br /> : arltlWt tLr�dmo.ho sb�ll ao.latom+dr todividysl�aad nyy have an ndrltdooal�vr my�t with�whkh m eom�yr vrldi the eeq�►ear,a�rlh�dlm�g S1��edayre, . <br /> . jand�s ied le�l koll�y�... . . . . - <br /> � 8tibd.`. ltoaduea MMo�a�s�me�arata or eampl�e. A��dl�iduol m�y oor�a�e aceurery ar eompierenaa�of pu61k or p�ivaro <br /> daa�oaaor�blm�elP. 1b euerol�e tbis rig6t.m mdiyleuel�hyl9odPy i�wridna+h�e�poatibk wd�o�iry dderibin�d�ena�tro oY d�e at�ene�eni. . , <br /> � T�e�s�ible ouVwrisy e4rU widdo 3D days eirher. (o)corteec dto daa�faued c�6s ioiau�e et,.inr�leu�ed awmpt m nodly put e�lpkna o!� <br /> ioaoaieats ae irt�ompJe�e da�a.Ioalu4ln�s�Epieats�amed br dK i�[v6duW:oe(b)nod�r d�f,diridual�iac lua belLve�die dala oo br oormr. Da�a . . <br /> �n dis}�we ehy11 bn dLclaed eeyr Jf t�s ii�dlridu�l`:amwnear o(dLapt�carem�e b Included wi�du d1�cloQed d�. , • <br /> �l�e dofnss�a�ion a<<ho rssponslbta wll�oriry nt�lr 5o appealad pucs�a[sa ohe p�o�►�boi ot die ada�lnimaH�e piaee�uee aee telat�a ro <br /> aan�oed i�oa. � <br /> � ' ' �A'PA PRYWr�CY A�VYBD�Y � . '„ . <br /> m+a�i� <br /> . 1a ac�ordanc� wi�h�Y.�:19.04,Subd.�, 'Ri��s of�ulije oi da�a°� we would 7�ke to infona yoa tha�yourtequest <br /> � far a p�ea�it ot ltc�nsa tbm cbe CJry oF Orono or a�y of its �epart�oe�ts may requlro-you to N�fsh ceitatri prlvete or � <br /> wnf�denda! lntotinatien. . � � � <br /> You are n��i�ad ttiet� . . <br /> 1.� The infoi�marGou you hirnlsh ru�11 be used�bo�det�rmine your qualifcaraon for�he permit orlicense requosted. � <br /> 2. You may �afu� to svpply da�s. but�tefusai may requi�e thac��he City deqy the pc�ait ar liconse. <br /> � � �. 3. 7'be informa�lo�aaay ba�s�arad wl�h er��r 1ara1,,atate or federal agmcics io the eat�at�ect�sery.to process <br /> . the permle oc lla�se. � . � <br /> � � 4. . if your requr�ced permic er l�caase r+�uicee Cau�cil e�etioa w ap�rove, some fafionnaclan inay beaome . <br /> ' . � publtc. : . . � . • . <br /> S. �Yflu�6ave eartatn righcs undar M,S� 13.Q4 (avollabte upon requdt) w�review prfvato d�ta an youraelf. <br /> 6, .Yeuc f�uU neme 9s sequired w proce�s thls applic�auop or pcimjt. . � � � <br /> , � � � 11 , . . c�. . . � . � , <br /> � � � -� �� � ss a 9s -�oy � <br /> . . �►. � , . . , . - � Z� � � ��� � . <br /> � . . . � . <br /> � �•�de,r�eand�ony rlgtits �e�stgcect above. , . �. . . . . . ' � . <br /> 11�NR , . , � . , . <br />