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Rpr 14 99 12: 23p Patrick Hanily � Assoc. , 474-2376 p. 4 <br /> � ����-.,»��� ..-.. 1'i/77 i�.�y <br /> u� :uai i i nu:d�� <br /> 3ac.13.00 RIQRTB QY SiISJECTB O�'DATA <br /> Suhd. f. �'P�etlNs. �e ryAu ot In4hMlwf vn whom fM d�s li�Y►►ed or w be aeorud�ba1i be���ec fvrd�in thu�rcrion. <br /> 3t+W.3. Iskl�q�e��l�be�.�n ledlvfda�i. M i�dividuN y1roC a suppy pr�r�u or confidcnt(al d�q�mfcerning him�elt <br /> ehU Dt trdolmeQ of: (I)dN�u�1td IneeMed u�e ol d�e <br /> �Y��n:(b)wAa1Mt h�m�y nl1u�ae 1.1.��ny. Irod a �d�a��eeilrcdnj�nu�tency.pollcics!�utrfi�uiew,o�w�e,�.iee <br /> 1ellt�lry tq+1uPp►r D�vam w eotpfda�l d�ra;�d(d Aro IOe��rcquetEM AtY:(e)a�I'tutiown cauequsnrs�riaisV froin ki�applyln�ur <br /> 1bi�r�q��freeiem rhql roc� 0�Mod�er pet�pru or endlieD�udKx+red hy wb nr fedenl l�w tc reeelve�he J�b. <br /> �Neecsrn►m oflker. �y when�n 4MIvtQwl It�d�cd to wpply UwtrltpNre dw, pursuan eo seerian 13.Q2. sWdhi�fon S,lu�1■w <br /> 8ubd, 7. Aenw ts d�h br y��'�dy+!- Upnrt reqixu to�rapo�iA�e�y�qrify,an inAivida�l shdf be Infocmed whe�her ha ii ahe <br /> NbjeGt of►tqttd 4�f�Oq 111dIY�p1/,rnd whalMr It i1 ttu�Nled u pub�k,r,��.,,o���raom�.�. voo„n��wn�,K�,e,,.a�,��i,,;�,r1 who <br /> 1a Ote itlb)ec(of 1101e0 Prlv�ee qr prb11C tlr4 01�irdiviGu�h�ht11 be dip�n Qm dNr wldtoy�nfy C1u�E In Afm at1d,1f M delires,�h�li he irifvrmaJ <br /> of tha conlent a+�Q metinluo n!rfui dw. Aflsr�n 1ndEvtdunl Ms Deee�Mrim tho p►ir�k d�t�n�it�fnrinnl�f iu nwnin�.Aa d.ea n�ed nec ea <br /> ttieclo�ed b blm for�It�►end�s dMwi,�IW�w�a�di�puor or urkn Puntma b d�i�uaiun h pendin�e��ddl�bnRl d�oa d�c ititbfdu.l he�been <br /> Th��nM'bt.wda ~�IMe wworiq drp p�whM copie�al�Ir prlv�n or puDlle d.e upor,req,�n�Ay d►e inm+�leu,l�tsc�o�ehs dyu. <br /> �b R+rY�quln�nquenin�per.w a�pay cAo�cfinl w��c of nukinj�certilyln�.u�d emnPqln�W�eo�les, <br /> '��patilW'.uak'►1�'a�il°omWY ima+sdi�xiy.l! �6 <br /> o/dN daa ol tBe ��r,"'i�""�"`9"r„"+�(�vrrnn►x+thb eaD4lvNtoa.nr v�I�hie fiw diy� <br /> wa nq�e��wid�in dn ni 'm� �?+411 io�inbrm d�e�'urflv'du�l�nd m'�'y Mve�n�dltton+l�f d� jy ah!►tn�l�i hr en�mm�tr w��ir�,�'n�;,M <br /> •xWudin�S�tuMay��3nndayt�M lel�l lal�dayi. <br /> S�.l. �°��''M"a`���+eM�cew'�t�er<aopMe. An indirid�nt m�y cnnrc�t ei�a�,ccu►�cy or compteteaw af pubHc nr <br /> prlvua�au e�noen,h�Kim�sft. To exn�ci�dil�ryN.�M InAlv{�al��1!nutUy in writHl�i!n Te�ppnslble�utholiq d�rct�ln!Ute�turo o!Wc <br /> d1�t'M�Mt. 'Ilf�N�pont��Itdbllty duC rr}�30 dayt adqr. (�)comcF d�4�0�leuM m De iNtl.vnR w IIICOry�EfO��1Q�f0?111p{1D 11011�y <br /> plSt 1'K k71Q 0(�lM47�R1 Yt M�IIDOI11�pp�.plC�tll�RCIjfMtlti 11�ri1ld b�r t�1!�fYH�M��;Of Mfd 1�f0 q1��� <br /> eo te correct. D�n!n di�ua�.fi ba e�.ao�a owy tf ine tnprau.l'!ILLRqN11!pf i�]Y �' h �S�t 11C EE11lvet dfe d�t� <br /> 7Tie delera�hedon nf dr rnpemiWe wdqrlh mny be� i�oement n inch+dat With dro di�claed da�. <br /> m co���c�p�. PP��pwi�u�tM.to dlo provl�ion�ol tbs adminlrr�tive prneedure ect rebsir� <br /> to.ccordence wl�h DrI,S. 13.Q4, Subd. 2, "Rl;hte ot Aubjecte of dats`.we wonld tiko to irtform you thae your <br /> raqueet tor�permit or ucer�e from th�City of Orono or nny of;ta depnrtments may require yofs to fbrni�h certain <br /> prtvate or cenfident�s� ;�f�rrnatfon, <br /> Yoe rtro t�otiftcd thet: <br /> !. 'fhe infotrnstlon yoti lbrni�A wit! he ueed lo detera�lne your quatifica�inn fpr ehe permit o� lictnae <br /> trqueued. <br /> 2. You tnay refute to�u�ply d�ta, but tefttaal tnay teqyite that 1�e Ci�y deay�he pertqit ot licetu�e. <br /> � 3� The information may be�hared wirb aher local, i�acc or hQer�l �genciea W the extem Aecessary co <br /> procees ttte permh or licxn�s. <br /> 4� N y�+�nyqatcd perrnit or)iee�ue reyu�res Camcil acdon to epprove, sorne lofarmation msy become <br /> puWla, <br /> �� Y����°�����M.S- 13:04(availwblc upon reqtu�st}to ceview privatc data oa your�etf. <br /> 6• Yonr fu)�narr�c �`��j�td to proceR�thie epplicatlon or permi�. <br /> F��.t L� N i <br /> �-�� ,� <br /> ���t�/�Q� <br /> �'ry _`_' �.-Z�s3 � �(� <br /> sd� � 2;P �� � <br /> 1 unders�ar�d my rights u� ����. ' . <br /> � <br /> Ef�rure <br /> 6 � <br />