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FF'Ot�l : �_:r�n�_�pt. L,�.nrl.tic�.F�ir-�a FHL�hIE hJL. : �372 =�11� Jur-�. ��� 1'�'�� 11:.�'�+Hf�l F��
<br /> 'cITY �iF 4RON4 '�' b'i�4r3u�'lu ub�u���� �iu:�a � :uslu� ivu: ia��
<br /> Sac.ly.04 RIGtTTS t�F�UBJECT9 OF AA7,l
<br /> Subd, l. '��rp�ai datr. TLe�f�a ol uidlvidusS o�wba�a t�e dau ta�wrcd Cr w be�w�od ihatl tsc�,i�cc�arch IQ this secdon.
<br /> SuUd.�. Laform�li0a rs�uired tn b`�f+tn lnci!'ridu+l. M�sdivld�W uk�d to�uppFy p�tvtta ar caafSdaatlai mn coacamtttffi k�tmsa:l sha11
<br /> br{afvrmed of: (r) t�a purpaec�d iQrsndad ure eC�e raquessod d�tx wldsin cha calkcdai 1��3`�Y•Potiac�l r.bdlvt�ien.er antewide s�rs�m;
<br /> (b)wba�.se�e may�aAsYsoriel�yally req+tited�e 14pply�he teqursirddat,+;(a3aaylainwncooscqe.encesrlsLn�(�oa►h!�n+PPb�a oc�tiuein;ro.uPPiY
<br /> prEnu ar�o�stldendal�ati�u�d(d1 t�e idredey ql ochev pusuas or ea�de��u�horSzrd bY�c��e or teriers7 I�'r+co reoalve ette aara. 1Cn��rcqutracn�at s�a11
<br /> aot YpNY whez la tadlvfduxl Is�siced co avpply fn�adgA�ye dan,puhuawc co�ecdoa 33.82,,tutrdivisi�n x,i0 0 I4w�nlbfe��Rt A�O�K. -
<br /> �,j►��.�Cfl1N[I�if102tEf QF(tvldVC mnv vlsc s o e. nnuiro e 'viSlp[A{ry,!�,g.,�,ntllvlCual i�,Cs� e��nis�3l�t3Y �.x re$�
<br /> ��4.4C On.fbG1f.19�t'
<br /> 8u�d.�� Aeea�tn d+tto bX iod3�^Iduol, tlpon requee�te�t�epe�►st0�eaa��riry.�n l,qdlvlduat sh�11 b�lnformad a'hutk�er h�i�ehe au6ject
<br /> of Rn�ed d�o vn iudtvidw�l�,aud whOcber(t(a etss�ifud aa p�bifo,pKvR�e o�eonfilendrl. V�on hic���r r•,�uesc,sa iadiv�4qsl wtio 3�tha sab�ec�
<br /> ol i�nd p�vsee de pubito d�%en i�dlvldusls shst!b/show�t the d�a widvsuc any ahargc ta I�m ar�d:ii ha desisac,ib�11 br fn�oras�d a!d�s cooun�
<br /> i�{�I�i�u1Zt{=qt ill�lt diea� Ah�r in G+dtvidnaJ l+a:been�no Wn ma pri�s�d.ea and inl�onna!of lu m��.�te daa aee@ enr txi disela��d ro hiu fcr
<br /> sLc mon�u tt�stvsltst utBdss►dlsputs or actlon puRaatFt ta r}�ls erxden ic pirodltaQ or oddtdon�.t 4at�or.tae tndtvleuv!Ess lstsrx aalE��:�e@ or crested.
<br /> 7?,e ro�pptu�E�yse�u+uo�iq ihall p�4vlda Capiea of�+e priYaN ar D��lio der�upon reqaest by thr ledir+idu�!tc�b�erc o!dte data, 'TnK reSpetitiEi�nu�Eof�ry
<br /> �e+�quirr th�rtt�adn�pbnor�ta piy fR1!fenial ea�a al eswldn�.eecdly(n�,and eomPl►l�►l dso coPier,
<br /> 'h�e eeayanefblr atidtvtiry aFu�tf eee�p[Y Er�r�tatm���Y.Sf F°u'b��•u'�th uw�qutst made punurnt tp dd��bdlvistort,ar wEdiEa flve dty�of
<br /> �a ctua of d�e ragc�sG�Kela�aY S�curd�Ys.5undays aeu9 I�;ot boll�iay�,it tmm�di�C.een�piiatfee t�nncp�ss4bte. It ha csewo�comply wid�tha roques�
<br /> wltltli+t1U1e tU+�e,no stiafl t�in1'orm Sne lndtyfdu.i,and m►r ha.c an addidanr2 flva days wit�i�wblah Sv a0mply widi dU!'[�qt1l�lc,rscludln;suurtlays,
<br /> Sunasys:�d Ze;wl Aelid�ys-
<br /> 3ubd.�. �Soc�dw'r wlua d�t.v oot�caur■sa er eeaepiete. Ar�1e�61vtdutl tniy etsn�est ehe tccurscy orcoraple��rieae C!p�bTie arprivite
<br /> dac,r.ar�rptlu hlrnsatP. �'e exe�clsa thlx d;hc,an Individu�!shalt rmdfy fa wrid�tAe aepe�(bte rutharlr�deserlbing tl���sturo oi 01t sl�agsbameac.
<br /> 'I1k respots�Ible authoriry al+ul wi�in 30 dtyt a+�se� (q eortee�ns dara fouod sa be kwccuraes or tn�omplcce�nd snerop�sa nactty pas�racEyi�mcs oF
<br /> inzcxltrYpp or incDm�ttect dt�Ci�facindb�i rceip��n�f��d by►h•indtvidusi;Ar�h}noJly tha in.iivid�tat thuc ht belleves the dar�to�Se�anecc. Do�a
<br /> itt Qilpu:e thall b4 diactoxd 0�If the 'vsdiriduit'3 atacamaru a!Eia�;rctmaCAt ii EAett+ded with the diaalo��d Caia.
<br /> '1"hr danrt'nirwtia�o!the respnns�bla tusorlty tna�y ba�pgealed pu�svznt ta tht previsions of the edr�tW�etsdr't ptOsAdvro 4at t��apA�tn
<br /> contC�aed caftA, �
<br /> DATA'P[LIVACY a►DVISL)RX
<br /> I,tt�tccordy.uc� with M,S. 13.fl4. 5ubd.2r �RI�i9 OE941tG3tCt6 Of CS�C",wt wou2d t�Ca�a intoran you ihat y�uc rcqu�s�
<br /> far s prrcnts ar l�ensa fro�che �Iry af Oronv bt a�y af i�9 depare�r,eees rnay requirC yqu ca �rnlst� cenain privaec or
<br /> ranftdeatl�l in�armac�on.
<br /> �au ua not3tiad�hat:
<br /> 1, Thn intorciYak�p�you iUrnlsh witl bc used co decermine xour quallfscatiors for ti�pt�m.lt pr licensa requestad,
<br /> . 2. YAu m�i+ refuse ca�uPPly dac�, buc retusal zaay tequitc tbat tbe City deny tha parsni� ar llccnse,
<br /> g. '1'ke Enfo�esttba mry be fbt�red+�i���her lecai,atata oc ftdnr3l s�enCxoS ca tha eztet�t neee�sety to pcoce�s
<br /> ' iftE�?tJ'iRiL OC 11GeAse.
<br /> a, it yo�r raquesscd persnic or 1lcensa requ�res Couacil aesion to appeavn, some in!'ornaatian may beco�e
<br /> flubllc.
<br /> �. You have cartaia righ:s�tadar l�i.S. 13,04 (avaflable upon requaq to roviow privaco r��SA on yeusa�If.
<br /> 6. Yauc Rill neme Is xequi�ed to proces3 thex#ppliCa�ion ot pesmEt.
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<br /> �j� Sdae Zip P�one
<br /> I understand my ri ts os ai�►t+Ad dbow. ,
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<br /> Sl�cur�
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