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Jun=27-2008 OZ:08 PM Riverbridge Partners , LLC 6129046250 1/1 <br /> Jun 17 2008 7:50RM HP LRSERJE7 3�OD p.2 <br /> 5rcll.Od R{CKf'S0F UBJEC!'30FDA7A <br /> Subd 1.Typ of�lo.7}ie ri�hts of individu�l on whonl Uio dalp p�Iacd pr lo bc fWICd sh�ll be asaq 6M in�ic xciiDn. <br /> Su6d.l.Infon Iiun�equiRdloi�egivcnindiyiduel.Anind(ylduolatkodmsUpplyptiv��oreenfidcntl�ldwceeKsroinghlmxlf�l�olly� <br /> informed af (n)�e py� �p,�,�imcnJad yy�of�he requeued dad wl►hin d�Coliceyn am�i eno', olltieel su6division,or alalawiJe <br /> wlfctherhemoyr�fweori It���y��quirtdlu�ypp�yWyrcqudleddnlr,(p)�yknow�conseq ence�rPisftigfromhitaupply(nia►�Nsla to u�(1' <br /> pdvateofeonfjdenlialda ;ead(J)µeidrnlilyofoUk�per�onaorencit6eaay1lMriudbythteM(��IlflWtorsr,�ivolhedtto.77�isrtquircrrknt A�1 <br /> nol aPP�Y►Nlen�n IMivid �i is vkcd a supPry Mve9ugsliv.dua,pura„�e�a aatlon 13.83,tubdivislan S,W a I�wm�forcemeM o�icer. <br /> Plme�he ne�i�2���rRd �,,.�ti� � <br /> ��f�l�lL7l�d.�b,ttJ ' u' al' e CX rel�nd. <br /> Subd.l. qr.ee toJa�ubylnJividud.Uponrequeslloarclponcibkautho[iry eni�(vidwlshsllbptnformalW►�elhr/heislhayvbjectof <br /> ilorcddenonindividua►o, whed�sri�isclas�iCedupubliqpnv���orwnfidenthl,Upanhislbnberrcqupl,anindivfdur�wFnislhesubjutaf <br /> alored priv�c or publie on individwds�hdl bt showr�{Medale wlthoucy�y chAlys Ip hlm end,if he detira,fball be informtd aflhe eontent and <br /> mtanil�oflhet rLm�, ARe �n individuel hor 6unshoqm�he priv�tadulennd in[otmod oFiq mesrong,�hC dslsneed notbedi�elasd ta him forwx <br /> montFulhrltafluunlcua ipwluoreetioepu,au,rotalh:sxcba�Itpendiegoreddltianpl��tyontltelnd'IVtdualluebeenep��eekdorcroalod.7Lr <br /> roponslbte�utAoriry�holl ovidewpiaofthepAr.eeor��bliea.ouponraqueytbytheindiviJiulsu�jecioflhedau,Theie:ponc;ble�uihor�y <br /> may�squlro tMe reauwUng on�e p�y ihe eownl eosu ormeklnk certlfyi ng,�nd enmpiling t�e eupies. <br /> thedoteo[Iharrqua;exbtl dngs�rda �Sund��eeu�Alc�'Iholda,xbf'metlfuecam�l'ian���siWeh[flteanrp�t em�withthedyyof <br /> wi�hlnlhe[thn�heshdlao nfom,thcinOivldual,u,dmayl,aveanadJinonnlC�ved�yswitl�inwhichooeomplYwith�ho �y �� <br /> �uedq's and le{�1 Itulid�y� ►eqtrat,exludingSetwdays, <br /> Subd.4.Ptocrd ►ewhe��dWaisnncnocurs�a�wmplele.Anindividwlmeytu�tCttyktecu�anyorwmple0rneaofpuhli�prprivaie�wu <br /> �onteminghlmneff.Toexe tffelhiefigN,oaindividuelekellnotifyinwn�ing�herespansiblceutAontyJeecribm(ldieauureof�l�adi�yeemr�v,77�c <br /> • n�apan+iblc wdwnry�hell Ilhin]0 daya eUh�r, (n)e.or,eei�he am tbund m bc inuca,���e o�incomplem Wid uaimp[io notity Dat raipience af <br /> ��qReteorincomplekdW,inCfUding�eoipienlsromedbyiheindivldu�I�or(b)nolifylhciMiyiJ�u1W�(htbeljevc�thsdo�ro0000rtat,Damin <br /> dbpwe ffv��l be diselosmd n ly if du inJividuel!v stu�n,u�tof dis;��smept is inctuded wIW theAittlo9e�1 tiotl. <br /> '!he dtlertrlina' oftMe te�portsible wlhoriy�nay pe sppe,led P�r.wnttu ihe proYtsionc of fhC tdminlelnlive piocedute ee1�ehtiay Ia <br /> Cnn►e�od cwes <br /> D�Ta pItNACY ADV1cORY . <br /> It►accordAneewi Iv1,5.13.04.5ubd.2,"Rightyof subjects ofdnre",we weufd like ta iqtipmtyou thatyourricquest <br /> Cor a permit qr liocnse m ihe City of Orono or any of its departrnents may require yau t�fumieh Certain private or <br /> canfid�ntisl infortnatia . <br /> You are n"oiifieii at; <br /> 1. Th�inr ation you flu7ti�h will be useci to detecmine your qualification for the perrolt or liocnse <br /> requeste . <br /> 2, You me �fuse to supply dAta,but refusul may Itiquile thet the Cily deny the permit or liccnse. <br /> 3. The info udon may he shared with oU�o�loC.�l,sfdlc or fedcral egenciet to the extent neaess�uy!o <br /> • process e pctmit or license. <br /> 4. If your r ue�ted perroit or licensc iequires Cowci)uctjoli to approve,some itifbrmetioo may beoo,ric <br /> public. <br /> S. You hsv ecrtain Rbhts undcr M.S, 13.Oq(availpble upon requesl)to revicw privxtc datu on yoursclf. <br /> �. Your fiill nnmc is required to proCtss this application or perniit. <br /> ��- Iti� . ,r�c <br /> �"' M�aei. � <br /> l I.iN( <br /> AdJ �� ' v " O A„C <br /> � o �s�r� �s�-�n3����� <br /> ��y Sret. <br /> 9iP rnou� <br /> I undenctAnd m rigflk9 . !ed ve. <br /> SI�1lrlure <br /> .i <br /> , 3: <br />