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07/11/2022 15:34 FAX 6514834549 POOLSIDE �J003 <br /> 8ea1J.0/ AIGRTB OF BUBJECI'8 OF QATA - <br /> Subd.l. Type oPdem. Tbo ti�bte of individual an wlwm the deta ie eWred ot to be�Oorod elmll bo s�e0t forlh io tMs�ec6on. <br /> 9ubd2.�qn�e9ai�edwbepvmindivldual.Aniadividualaokadms�plYPrn'tleWcooSda�isld�taooaoetd'a�luwdfs6aitbo <br /> mfatmed of. (a)dio pm�pote rod'mionded ues of die�equeaoed d�ta widriatha wll�etnts�peiwy.Pdibcal subdivioioa.or eptoe�vide rYe�m:(b) <br /> �vhedier he mey refieo ori�legdly ro9�m�Y��9�ddeb;(c)enY knoWm crnuequenoe win�flom b�a�lyiog a re�ein�m yupplY <br /> ptiveroe orcon8dantiel d�:and(d)d►e idendty oPMharparmne ora�itlar autlwri�odbyet�bor�al lawturooelve tla deoa.'17dstequuen�erUehall <br /> not epply wbea an individwl ie asked�o wPP�Y��d�.P�Eo�aioa 13.82,aubdivit�3,to s Isw enFo�meot ol�Cer. <br /> 71�e mme�,w;im�e�ef reveene mav dea the notice �rorn+���er��IsW:.�t���s�a•••�br,,;�ts_+�a-o�oatv -,�i "�' <br /> Subd.3.Accaes to dep bY�dividiri. Upoa i+equeet ta e rapoamiWe authcrity,an ipdividael tholl be infomied wbetlar de it f6e subjectof <br /> atwed deta on Individuals,ad wl�elha e i�clwified as public,Pm'ete or oa�fid�ntial. Upon hro fiutder requos�an indivi�ei wlw m d�e n�bJect of <br /> �ed Pdvqc a pubiia�ta on indivi�da eboll be almNm 8ee daa with�eny cherge bo dim tdd.if he desitea,ehW bo�aed ofthe c�a0ait snd <br /> �of tl�et dt�r. ARer aa iodividwl6ee boen ehown d�e privabe dAla aod Lo�ibnaod of ite aqenin�,tlie deta naed not be diacloead to him foc aix <br /> monlh�tl�e�r unlaeo a diepWa or acfioa purrueat to dtie eection ie peddiog or eddilior�al d�te oa tl�e individuel hes been collecoed ar ceeatod.TAe <br /> reepo�aible aufharity ehell provide oopis of the peivaeo or public dsb upoc ro4uat bY the i�dividurt�ub,�e�t of tlie d�a. 1Ue roepoodbb autliorihr <br /> mry ro9wte tl�e raqu�tiW�pason oo pry 16e aod�el coae of�,carpi�rio�.aud oampilio�t6e copiea. <br /> T7►a mrpom�e wtboritY ehall complY�bS�P�bla.wiW mY ro9��P�m ihls eubdivisioq a within five dey�of <br /> We de0e of the�e9�.�u�B�Ya.Su�ye eM le�d holidays,if imnedi�le coropNmu:e b aot padbk.[fhe cmuiotcor�iy w�h ihe�ogum�t <br /> witl�ia dmttin�e.M sheU ao inform d�e lndividu�l,endmay I�ve an addido�al five days vviU�in whiohto o�ly vvitl►tla roqueel,o�udioB3et�tryi, <br /> Sudrye�od lepl hoti�ys. <br /> Subd.4.Proce�uo whon ded�is aot�ocura�o aooafplota.An udividuel mayoo�etthe aoane�sY�ooiqpleo�ofPu�iC aPdv�ed� <br /> oonoaoio�him�elf.To axerciee this ri8hk mt individue!slmll naily in wrilio6lhe rapa�aible�Y d�ril�pi{��pao oft4ediso�reooamt,'Ibo <br /> reipomibb suqiaity sdell wifbin 30 dtys eitl�r: (e)aaroct tha det8 Pouad to be ine�ns�or inoom�piebe md tldempt to nodfY D��P�b d <br /> i�oa.�e a mc�cn�oe aeta.mclu�recipiaq.muma ey me a�vidnd:m ro>,�irr d�e�ndnidud thu ne belioves the aa�co ba c�d.D�io <br /> diepuoe ehdl be di�clo�d mdy if'tha individimPs emteraaN of die�oaoent is ioaluded witb ths diecbeed dete. <br /> The�ofd�e�pa�s�le eud�;ry m.r bo q�oa pwa�m me aovisiooe otme ed�nisuauve p�ooe�re ece ml�tu <br /> conoeeoe0 cee�. • <br /> DA�TA_PBiVAC_Y ADY S�O Y <br /> 1n acoordance with M.S.13.04,Subd.2,"Righta Ofsubjects Of deta",we would�lce W inform you th#your raqueat <br /> for e pennit or licease from the City of Orono or e�►y of its�ts mey require you to fiunieb ce�tain�xiy�te or <br /> confidential information <br /> Yuu are aoti8ed that: <br /> 1. Tbc information yov fiuoieh will be uaed to dataminc yow qusiificetion for the pannit or lioanso <br /> � <br /> 2. You may refuse to suPP�7'deta,but refusa!may requit+a t6et tln City deny ihe peRuiC or lioonse. <br /> 3. T6e Informeti�may be 86ered with ot�looal, state�federal aganoies to the ext�rt neoessery bo <br /> pl+noese the pa�mit at Iioensc. <br /> 4. If yow roque�tod permit�licatst requiras Counail ection to epprove,some infoanation may beoome <br /> publ�c. <br /> S. You heve certain rights und�M.3. 13.04(svailablo upon roqueet)to roview privete date oa ywn�elf. <br /> 6. Yo�u full name is ceyuired to ptooesa ffii9 sppli�tim�or pern�i� <br /> /` 0 a�+'✓'�" �.p v i.S �-Nc��L�S'D N <br /> � �� � <br /> 1� 1 C . . o u•� le . (' <br /> � <br /> ���ff�t' ��,,. ��C�a- /�! �r✓ S��// `7 !� r/ ll8'�+� <br /> �r � sa« z� �.e <br /> I r e�y ri�ts�s�btal a6ove. <br /> �ro <br /> ._..--��-��--, - - <br /> < - -- - - -_ <br /> t: ,. > :. :.;.- - <br /> �. .:., ... <br /> , : : 32 <br /> ,...: <br /> � ..... .. .... . ... ... ._.. . . ... . . �. � <br />