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98/01/2002 16:40 9529300921 SAM AT SELA PAGE 06 <br /> Aur01-�OOt 02:30pm From-CITY Of ORONC t9622404616 1-i42 P•006/006 F-Z34 <br /> � 5a.13,Ot�GliTS OF SUHJECTS OF DA'fA <br /> ' Subd. i. Tyve ot aata. 7tu r►,�bce ut inQividual on whom cne d�a i�uored or ro br�oond ahip se as o�e focst►a Nls seu�en. <br /> Subd.1. �oformatloa ru{�drred to bt�vm inWH0�m1. M ledlvi�l ailoed m�upp1Y pdv�K or aoMidr�l tlals coeCemio�Itiinself <br /> s1�aU te irfotmod of: Iq dK l��poio aid'uutidM�e�d�e requtsoc�Ow wlddn�e coll�uia�taa ofemY.poudeat aubdivision.or�iswide <br /> sysmen:(b)wlydur 6e r�y roluse or li 1e�11r nquirod�wPP►7�6e requeioed dus;(a>+ry wawn eonopweea+uiiiva trom A�s�upp�riag er <br /> rdusini��P�7 On�tle o�coAlidendal d�;m0 t�dlo 1�tiad oP oel�e�pertow or dKide��udwtued pY�ot[ed�nl l�w w Metive d�s Aara, <br /> This raqvlree�ent irall nor�pply w6an w+indi�ltlutl is Atked m supply Inves[i�Qvs dan, punu�at m�ection i',82.��bdivision S.�o� bw <br /> cllforcewon�0(f�rr. . • <br /> � .�.�•-.„�...�reA�rder�tiix tuh,�lvi.lon la d�lvlehral ineo�ne a�er nrnea��ax� <br /> �tn�cri ns Inernd�nn rl�osa 1lsmis, <br /> Subd.3. Aeaew to dats►�indiHdllal. Upnn reYwst m a recponwele athoriry,nn i�dividutl�6sll be infocmed wM�l�se he ie dU <br /> �ubJecc of s�onC d��en InAlvidu�ls,u�d wqelfwr i�i�cl�soified�s publi�,pel�ab or eonlEBanti�l• Vpon hii lt�rther requeyt,�n iodirlduel weo <br /> It the su5;ec�o[�Ym'�o[p�EliC dvt oa indlv�urle�1u6 he slrowa dw d�ua widnw�tiy d►�es,a to him�n0��M A64uti.shl:E�in�onr,ad <br /> ot No conten��nd me�nin�of duK O�ui. w[ter un�ndividusl n�x been�1wwn the priv4a dta end inlbnned of us maanin�.�iu daa ae:d nac be <br /> dicclosod w Uim tor siwc mond►s 4�eralx�uNese a diepuee ot action pur3u�nt m�hls secdon w peldi►t at ddluonil dam�n�de lndlvidu�l has bi�a <br /> coll�crC oe etwNO. '[1�s n�pvn�b�s zud�a�iry�I1 p►�+�Ide eapi�e ot drc peiv�or a 9ublio Q�s upor�sqwuc by�individwl.uqja�of dr dw�. <br /> 'fhe re■yuasible wrhoda may raqui»du raquearin�pe�+wn m p�,y�e uN�l cvst�of sukin�.nrtiyinp.�el compiling[h�wpie�. <br /> The nspos�sibM�uthori�y slull comp�Y+�i�alY�if po��ie.wl1►etyi rc9ucN�de putlwNt w d1i/6ubJivii�on,oc wishie CiYe d�rs <br /> of�dau ot ihe ttiquesR��el�ding SaWrdays,SuAd�yi vnd I�pl holld�yt,if I�anudiu�eo�npliaaca(1 nnt po�lplt. I���o�net conlplY�� <br /> �he re¢'e!t wirhi�0►te time.he sh�ll�o iotoron d�e individ�.W.tnd m.r heve s�ad0ldorril firc dyrs wilhia wUicb m wa►qy wi�d+e Kque�r. <br /> bteludin�S�nlyd�Yf.SwdaYs�nd Id�l holltlay4. <br /> 9ibd.�{. Peocidure•.hen dsts's no��Ce��a�eampltte. M ie�ividust o�t9 oonm�c tl�e�vncY o�enasplettae�e ef publk or <br /> privaa dacs eonc�rninQ ht�elt. 1'0�xeieite thir��ht,nn i�ividual shafl ao�ify ht wrids�dw nspoiw�s audwdq a�ecrlb(ny d�s nstu�e oF�a <br /> d'u�Yrerr.ere The ro�powsib�wt+oKsy:h►11 wf�1w�0 doys ei�lar. W wrreac d�e�fowid to be imaveiue or inoomplea�od ansa�p[io no�ty <br /> p��raaip tents of uw�ountc o�iscompleoe daa,.luel�dlc��oeipiaea�ume�by d.e lndlvjdurl:o�(b)nodfy aM EndtHawt dµn c�b�iNwe du dfa <br /> w ye cOrntt. I1ato ip dilpueo s1w11 Oe diseloHd ON5 it du i�diriduN't st�mont ef din/aeAtent i�ieolu�td wid�tlu dlselosed daa. <br /> 'rhe Aet�rmirvdan of tAe rc�pon�lOk ardaAry tnaY�sPP°�P�:r�'�w6 P�h�io�of the�nslnlarreava p�oerdure acc rcl�tir�g <br /> w coarasud eases. <br /> nATw P�vACY_AbvIS�RY <br /> Ln aeeordacae wi�h M.S. 13.04, Subd. 1. "Aights of subjeees ai dats". we would:ikr W iaform you thal your <br /> nquts:tor a pernu[or licewe from the Ciry of Orono ar etiy of i[s depnr�ments tnay �equtre yo�m furn9sh ceaaia <br /> pcivace or caAFdentisl inforcaacion. <br /> �'pU APQ IIOLlflt'd I�i� <br /> �. Tl�e infarmadon you furaish will be used ro deaermiae your qualifus[ion Pvr the permlt or licaase <br /> sequested. <br /> 3. You may cefuse io supply daca,bu�rotbsal may:eq�ire cf�c thc Clry deay tbe pecmie or license. <br /> ;. The iafoczaation�nay be ah�red whh ocher toeal, s[au or icdecal ageneie'a ehe excen[nKeessary co <br /> proceu the permi�or l:cen�e. <br /> �, lf your reques�d prsm;e or t;eaGse req�:ires Coun�il�co appcove� some informncion may become <br /> puelic. <br /> 5, You have ecnein rlgh�s undet M.S. 13.O�t(availsble upon roques�to revierxr piivnie data on youcselP. <br /> 6. Your full name is required co process this spplicadoa o�pernnit. <br /> ..,.,5: � - <br /> Firs��� Mid e . L.a�t <br /> 'J <br /> I�YYt�� V7�/' x ���F�M`7� <br /> V . �7 <br /> Cip� olc Zip Pdonr <br /> I uodt:st�d t�Y�igpls as scatrd above. <br /> SiQnaaua T <br /> 6 <br />