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CITY Of ORONO � 6124730510 09/10/96 12:23 � :10/25 N0:297 <br /> ' i <br /> Sec.13.04 ltlGll�'S d�5N1lJECTS OF DATA <br /> Suhcl. 1. Type of dsta. The righu of individu�l nn whom the data ia stored ur w he�m�ci sball be as set Wnh in this�ection. <br /> 3qbd..2, WarmNlti�rtquired to be�iven indirfdual. An individual saked to suppiy priva�ar cunfid¢ntie!data curwtrnin�hi.msetf shall ' <br /> be lnfonnad of: (a)d►a purpuse arnk i�xendnd uic nf Ihe requested d�t�wi�hin tho colloctins�tate agency,potiucs! subdivisiun,or ifauwule syseem: <br /> (b)wlutHar he rt1Ay ref4sa nf is IoiaRy nquiroA u+�upply ehe requesud dpta;{e)�ny knnwa consayuenee Yrisir►p fr+�m his supplying or retusin�m 9upply <br /> pt�vau or confidencl�l dua;�nf(d)tlu idea�iry of ather persons or e�ui�e xurhuriz+sd hy stnle or hderul faw w rc�:nivn the daq. Thia requlremnnt sh�ll <br /> not�ply when an i�rilividuAl is�kod tn auppty inveatiQative dafa,punuent u�sa:tion 13,82,subdivi4ion S,ia a iaw enforcemant ptP'rc:er. <br /> The c�rt�inner ef revan a mav nlace tl�e nqiic� �e�� i d u e►chis subdivisian in iha i{�iividufll incamt �ax w mm�ertv x �et�und <br /> leswcciont insraa�i of on those forma. <br /> Subd.3. Acceea to data by iadlvidual. Upon roqucat to a rsspuneible uuthunty,an individual shall be infurmed whotAer he is the subject <br /> of arored dnu�on indi�ulualr,md whether it is Nassified as public,privara or confidentiaL Upan his further mquest,Y11111dIVjAULI WIIO Ib�JiC SNh�CG[ <br /> of itored privrte or public drta on individuils shall be shown che dstn without�ny charge to liim s�xl, if he dnsires,ahall be iafornwd of the content <br /> rnd me�niag�f tlut das�, Atar an i�ividusl has been chown the pnvwtc data and intorn�ed of its meanie�g.�he data need not be disclaaaf w him fe�r <br /> six month�thereAfter unlo�s a dwpute or actron pursuani[��hiR seccNm is pendiu�c►r addition�l d4t�un�lte individua!has been collected or c;a��xi. <br /> The rsspc►miblo authadry yhwJl prmide copies of the private nr publi�d�t�unan requeat by the individual sub}ect uf�hr dxa. 1'he responsible su�hurity <br /> m�y taquim the raqua�ds�persnn tn pay iho acb►al rnats of ms�king,cersify[n�.ancl campilin�tht copies, <br /> T1u reapot�ible duthoriry�haU cur�tpty immediatcly,if possibie. with any roquesi mula punuant a�this aubdiviciou,ur within five days of <br /> the datc af d�e reyuec�,exaluding San►rdeyt,Sund�ya arnt loyni hc►lidays,if immediat�complianca is+wc posxihlc. lf he canuot comply wi�h the nyucse <br /> wirhin that time,he stuill so info[m the individual,a�xi may huvc rn a�lditioml f�o d�ys within which rti comply with the reyueat,eacluding Saturd�ys, <br /> 5undayA and logal holufeys. <br /> Subd.4. Proeedure r.hen data i�eot rccwate or complete. An individual nwy wnc�xt the,wcarxcy ar completeness oP public or priva�z <br /> dpta coneernin�himaolf• To exercise shis right,an ii�dividual shi11 nuufy in wricinQ the rcxpcmAible au�hnrity dascribing the naw�a of tl�e dis�ncmenc. <br /> 'Ihe re�ponsibla�ud�ariry shalf within 30 d�ys ei�her; (a)corre�:t�a da�a f�und w be ineccurate or iacnmDlete and aaempt tu nodfy past ra:ipienc►uf <br /> in�eeur�a or lncomptete data, includi��g recipianta nam�c!bY the indivkival; or(b)notify the individusl that he b�licvns the data m be correct. P�t� <br /> in diapute ttul!be disclosed only if the individosl'�atatement of distgrasment is included w�th the disclosed datt, <br /> The daterminadon of the responsibla wdwae�� muy be Rppealed purguxn�to the provisiona of the rdminisuauve pmcedure acr rclsang tn <br /> conce�ted crees. <br /> �ATA PIiIYACY �VI�QRY <br /> In aacardancc with M.S. I 3.(14,Subd.2, "Rights of subjects af data", we would like to inform yau that yaur requext <br /> for a permit or license from the City of Orono or any of its departments may require you to furnisl� certain private or <br /> confidential information. <br /> You are notificd that: <br /> 1. The informatian yau furnish wifl bc used ta dctcrmine your qualification for the permit or liccrose requasteil. <br /> 2. Yvu may ref�se to supply data, but refusal may require that the Ciry deny the permit or licen'e. <br /> 3. The ia#'ormation may be ahared with other local, siate ar federai ngcncies to the extent necessary to pmcess <br /> the pernut or license. <br /> 4. 1f your requeated permit or licenae t�quir�t Counci! action to approve, some information rnay become <br /> public. <br /> S. You have ctrtain right� under M.S. 13.04 (evailable upon requcst) lo tcvicw private data �n yaurrelf. <br /> 6. Yau� full name is required to process this application Qr permit. <br /> �. e. J"o �-,� �,� C O�ST R C;T�a,�1 _.w...W __._.�.., <br /> Fitu - — - Middle Laat <br /> p, f� 8 0}C I 8 S ......_..____.�_..... ....... -- <br /> iulati:� <br /> L-o,e E.-r-r-� M , ,�,.� SS 3s-7 �9 3 - a �s� <br /> Citq � Stato 2.ip Phone <br /> 1 und i t st avc. <br /> X <br /> ��arc <br />