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C�ITY OF OR�NO � 6124730510 09/29/97 13:53 � :03/03 NO:OZ8 <br /> � ... =. <br /> ' <br /> s�.is.a aic�rs oF�r�scrs oF a�rs <br /> Subd. !. Type o!�. 7be�bts of iadivi�al oa wham tbe dro�b ao�A or m be sroad�hsl!be a uc toreh ia rltis�ectioa. <br /> Sabd.2. Isletm�tloa rp�dred t�ba�Nr�s to�. M iediri/�W sfked t0 fnp�ply ptivu�Or con�ttui�l dw eancernit�himtslf sbW <br /> b�b�otmrd at: (�)tl�puepo�e tad+aanded we ot du�equs�ad Q�a w��ia the coUa�iuo�ajencr,polipc�t�ubdiviston,oe�toewide symur <br /> (b)wM�alla mtr�.Iba de it!�fa1�Y RWi�sd m"+V➢►Y���data:(e)�ny icoown waseQueace acisie�hom hls wP�Y�+i vc rat4�eo ayplY <br /> pttwa o��Mat:�ad(d)d►e ideatity of otber pee�om or saa�n►da�zed by stsoe or hdswl 1aw�recetve tAe dsa. '[Aq caquire�ot�att <br /> me fpptr wh�n aa fndlv�ud I�uksd m�uppiy itws:dpdve daa.W�wac ro ucaae t3.dZ,�ubdirician S�m a 1aw sn!'oKemenc otrioer. <br /> 2ht�mm�l�iD�tt o[rnraws mav rtice nodce.eaai}�d uodsr d�b wbdir�ion M,��,i�Ql�id�az or oron�nv tuc tsbad <br /> $u5�d.3. AesMs to 4�t�br 1odh�Mw�. Upan nqusse m a nspo�uiWe autboriry.so iodiridnd s1uU De infotmed whet4er bs i3 tbe subject <br /> o!itoc�d d�ta oa iadiv�u�k,and w�ed�er it is alassifisd�s pubJic.prirsae or soN9denwi. Upon his tuc�.r eequeu.�iadiridus!who is d�a x�bjecc <br /> of a4e�e4 petvsee ot puQtie dap�on irnli•iQuds�be sAowa d�e�widaut�uq char�a ro him aod.if he desir�s,�ttt Do iatora+od of 14s coaanc <br /> ud�o[#wK d�a. Mbt�n Lbividwt tw baea slwwn the pdv�n daa atid'adanasd of ia msaainj,t6�daa a.�d aot be disclored ao Aim for <br /> �Ix awodu dMOMllec unka a dip�a o�aedan purnurc ro dds teetbn k�Oendloj or�ddicwa�l dua on�e indiWdwi b�s been cuilee�ed or eressed. <br /> 7bt errpoatlOt�wt�arit��tll�coride cop�ot t�e pdwoe or public Ma upoa requea�y tla Wiridu�i ubjecr oi du Qsa. '!in aspaa�ibt�aid�ariry <br /> ea�tr e�tGs da trqw�yuaon ro psy t1Nt�cwt cosa of n�akLn:.aetllyte�.�ed eom�it�mt copies. <br /> 17a�poa�iEk wtl�oeiq�lu![eon�ply kuaadi�taly.it pouibls,wiiA wr r�nude Our:wpt a this�ubdiriiion.or widNa 5w day�of <br /> �s dw of d�s nvqw�t.�xcludia�SuqMaps.Sn�aya�nd h jd holidaY�,it iauaallm wmpJnnee is noc pos�ibk. Iibe eanaoc eompty wid+die eeaues� <br /> rvld►�qae da�.M�ball w Wonn dis�dhidwl,�ad�nsy bsve an addieioa�i!�w dar�wubm which�wmplp with tLe r�qwai,excludlry Aw[days. <br /> suadqn uid khl Aoifd�y�. <br /> 8udd.4. Peoc�does x�n d�ta b not seeur�or¢omp{r�e. An tneividwrt ea�y sonx�c d�e�cuaty o�compleoar�ess of pvblk ar privaa <br /> daol eaa�enlpj kia�it. Tv���t thls�i�ht.sn it�dir idwt�hali ao�ly�n wt�ity�►e R�oa�ibie wtl�tiry desctibtne du naaua ot @u aW jraenuat. <br /> 'Ch�AfpioNa�l��tAOrity tMq witbip 30 dsrs eida�: {a)eaze�at tht da�t Ceuad 10 b�imCeutsN or meo�ppl�1�pd trempe eo mdl�'P�st t�au ot <br /> i�eatsoe Ot i�tets dsat�1ael�0ity mipitaq nam�bp rht ind(ridual:or(Er)aodh fie idividnai duc M Delisves the QseR to be Cou'tcc. DaL <br /> In dl�puor tbd!b�dixbwd o�ly if tbt iadividual's s4ttn�ept of dbtpee�nt b fecMdtd wi�t�di�etoud dan. <br /> 7'h�e d�prml�a of tbe rsspoas�le w�hority mqr bs aPPe�kd D�raa++t�t!�Provis�iu of the sd�ioistruiv�pe+�ceduee u�islstlas m <br /> epaoe�ad oua. <br /> DATA PRY'VACY ADYISORY � <br /> ._.. <br /> In�ard�ce with M.S. 53.04.Subd.2, "Rijhts of wb}e�ct�of data",we would likc to infotm you tlwt your request <br /> tor�t petmit ar ticenae fmm the City of Otona or any of its deputau�us may r�in yo�to furnislt certain privace or <br /> confideatid latostt�tia►. <br /> Yon�re notiG�thu: <br /> t. Tbe iAfot�tutian you furnish wilt be uscd to deteca�lae yonr qualit'uulon for ttu permit vr l�canse requested. <br /> 2. You may tefuse co�apply data. but refu�l may cequin thac the Ciry deAy the pera3it or lir.ease. <br /> 9. The!,alorn�tioa�aay be ahared with ecber lorad.stue or f�deral a�a�cia to the excau necessary to process <br /> tba pecaAit or livewe. <br /> 4. J!your nqueated permit or ticense requfr� Co�cii actboe► w spprvve, so� iufotu�acion m�y becom�e <br /> �uttlic. <br /> S. You iutve certain d�hts nn�r M.S. 13.04(availitble t�oa sequest) to ceview priv�ce dua aa yoursetf. <br /> 6. Your!Wl A�tne ls tCquired to proCesi this tppiic�tioa ar petmit. <br /> � c_,�., �,�' ,,.� <br /> � C�� 33 � �x .e�s� �I l� <br /> ��e�c� ��'' T�3� 4 �7�' 7/�/. - <br /> c�+ �, z�p � e5o�, <br /> i cs4d as rl s st ebove. <br /> s+�n � <br />