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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 J. Dietz, Mayor, City of Elk River Date <br /> Tina Allard, City Clerk, City of Elk River Date <br /> John Riens,USFWS Partners for Fish and Wildlife Program Biologist Date <br /> Sheldon Myerchin, USFWS Partners Program State Coordinator Date <br /> FWS NonOBL <br /> 08/14 <br />