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Spatial Information Sharing: In accordance with the Privacy Act of 1974, permission must <br />be obtained from the Landowner before any personal information can be released. The only <br />information that can be shared is payment information that is authorized by law. Therefore, <br />Landowner consent is requested to allow for sharing of spatial information about this project <br />solely with conservation cooperators providing technical or financial assistance with the <br />restoration, enhancement or management of fish and wildlife habitat. <br />I, the Landowner, consent to having spatial information about this project shared <br />with other conservation cooperators <br />I, the Landowner, do NOT wish to have any spatial information about this project <br />shared with other conservation cooperators <br />Signatures: <br />John Riens, USFWS Partners for Fish and Wildlife Program Biologist Date <br />Sheldon Myerchin, USFWS Partners Program State Coordinator Date <br />John J. Dietz, Mayor Date <br />Tina Allard, City Clerk Date <br />FWS NonOBL <br />08/14 <br />