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Jun 12 O1 09: 20a Jim or Rhonda Steffes 763-786-8125 p. 3 <br /> � • <br /> MaY-19-200) 10:5tam FroA-ClTY�Of ORONG f.�5t2104B16 <br /> _ '� T'g�# P OOT/001 F-OOA <br /> Sca,l�.Ot RlG!!TS OF S�l8dECTS OF D:IT.� <br /> Subd. t. T7p�ef dua. 1hm d�b�s af iadiviAwi oo whvai ibcdw a sralrJ or w'6e s�oteQ sAW.be.ss xcta�ia tbis�ccou. <br /> Subd..2. L+tvrmsoaorsquked ca6e�.q��ndMd�J. Aa�li�idaal�stod�o rs�e.or.cort6de <br /> ��o��a or• t�)m��„�o,�.pa��a�a.�or.mo �y� ��a�oo��mmxu�nyi <br /> (b)abcJ�ec he�aay�sFvse or is I�ga4Y�9�ina�to sn �esrod d�p.�i�ie�e ro�eaia��e�Ls�cY.pofid�il a�Odfvippq er sdtwide <br /> l�PI!�he nqueucdd��e�aa�r izcreo w�oce�risio�ho@pis �°�' <br /> p�vare or cortRdcnBy d�u:�crd(d)d�c tde�g uf otlie�pe�sv�a�endfies aurboeiaed sy a�Cta otfedaii 4w w.[xcet�e ��or refbrnr ro sVppiy <br /> �ac applr wh�aa i+�ai.iuvrt is ukcd m supP�r�+��sd�sove dm_pu�c ra.�eedoa J 3.81�su6divition 3.ro a l�wtAe dw..'IAis Rquiremeot sb�ll <br /> . tnbrcemeac oK'Ke�. • <br /> � ° • ax. <br /> '![�t�[i9n�inmesd of on�hom fonns. • .� <br /> SYbd:3. Aatsr ta�da�a bfi ludt'�fd1�a1. UDup Rqpeft te�n�sgousi6k.au16odry.in iodfiridu�l sdelt Ae infoemcd'wACNe�l�c is tbe susjecc <br /> otsaced da�a oa indtiriduals,a�whetba it u t6r,uifkd s�pubtic.priv�e or eonffdeadal. Upoa his lhnbec tequesG aaSaOtvidwt�ho 1s d�subjeec <br /> of s�urcd p�v�tc or publu d�u vn e�dividYils sh�ll be s6own�die dso wi�eutany et�e�01��'itbe aqites.sbaC bC in6ainAW of�eoaunc <br /> �a0 me�nioa ut.thu daa. AfRr an individual bas Ocen rAo+an tAr privae:'Cv��w:o�mrd oGirs a�esqiof.���aee�4��dtx)osed ro bim fer <br /> SIX WOIIdLS{I1�RiIFCf WIICSS i dISp11�C Of�Ct�pl►pYff11]R�[0 IAIS 6CCd0A 1�ftllQtps O��00�0�diQ OR fbE IIWIY(OYQ bif I1ltA WIIlC�Cd 0[cnCl�GQ. <br /> 7M�nsparul�te�fiT sfialtp�wiQr eeoyies of d�e pRv�k oc pu61k dta eFon mqua:bx d�a io0ividwl su <br /> �Y.fCq4t[tf4l.�.p�ppl►(6jliy�t11E3CbR1'COSCfOffmltlnt.ClrS•ieC.OndWmp��! ��ot/hldtGl.'�IErcs <br /> P�'Ok smhotip� <br /> Thc►espansib{aaudaria sha11 co�y-��y.i f�►csibk.w"s��an�req�atr���. ' <br /> the d�G o[d�e reques4 e�cludtM S�ardiys,Su��ys uid legatboDd�qs,�;r;,�n�e�e�� TQb'�°�P�.or wi�ir►hve eays e/ <br /> +�irhtn d�u time.be shoII so idfoem rhe iudividud.and m�ybsve�I►�ddiEna�l Gve days wf�hln•whieh�ah��oc co�qp{y wi��fe rcquesc <br /> S+n+daya and leg�l boNdsyr. 9uesi,�acl�diaa Ssaudays, <br /> Subd.4. Pracadnte wa�n d�h u aoe awmaee oe.�ompk�a an iadividusk�eon�est drc <br /> t1�w coateminj Ainualf..To cxarc(se�Ais dBAt,�n indiridus!shdl trodh!'ia"w�f611�e ��°r��ne,�s of puWie e�privi�e <br /> T[(e respoasf0te audwrt'ry stiafl wid�io 30 d;ys eiWer.. �PQwmle wNoeiqc.dtteribie�.�eaww�e ot d�edingeeem�oc <br /> ineec�entr-er 1MafnpFele��n:ipe (��oeaeeihe dsa fw�rd c�te•inseeorue orv�eompkx,�d u�emQc eo neiifS'Pasr mipie�us ef <br /> 1��tpitna�6r ue indieid�y:oe fb)eodfy.l6t iadirid�W.tlat•6e bdievst�hrdw to be urteec Dao <br /> iet di�pum�A.iU be�i�oaly.it�he i+WividwCs mee�•� � � <br /> 'ilu detetminzrion of d�c �r� �+v'rluded w�tli t6e disdosed d�Q. <br /> cen:rued euee. "°�ibls wd�oeiry msy be+PP�W�t�c w dee pto�nio�a of drc <br /> • �e pcaeeduie�ae alsdag co <br /> .�� acY�ntizsoRY <br /> In aEc�cdanee wkh M:S: t3.04;5ubd:2;•K;g�o f����oi dua",we woutdJilre.w;ape��►ou thac you�requea� <br /> for�permit or license ftora��rCit�oFEhvnQ ar of ic; u <br /> eonfidenci�l infom�eion. '� �P+�`�tO� may nq�fte.y�r�.�A+ish actain privace or <br /> You aze notified thac: <br /> I: 'I7ie informa�ioa you fiim;sh wi!!be naed•w de;r�e•�our quatiticat[an Gort�e petutf�or license requestetl. <br /> 2. Yoa may reluse co suppty.daco. but nfiisat•may reQuire �ac tht Ciry deaY.�.�he pern�t or ticcnso, <br /> 3. 1'be informacion may tie sbared witti orhec loetl,stace or fede��1•aa�eies ta the extq�t'aecessuy to proeess <br /> the gri�nic or ticense. <br /> 4. Ff your requested permit or rceose.nqujres.Cpunc�.ution oo•agProve:•somt infnema�ton �y become <br /> • . pub�i,r: <br /> 5. You have cercaf¢-rig�s�und�m:S: 13:04(av�ifablt upoc req�esr) co rs„ie�„.p�� �on yourself. ' <br /> 6: Your ttrl!�-is�nquTced'�afprvicess this aoplTcacioa or pacmit. <br /> Fiac ` <br /> �tiddte � <br /> 7 9�� L-�.��v��� � f... �'�ca �1/ Ll �' <br /> �aareu� �. � <br /> '-__- - <br /> � <br /> Ciry Sais • y�R �e '� <br /> I undeTstand my aghcs as saced above. <br /> . <br /> ' , . <br /> Si�naa�rc � <br />