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06/21/O1 11:48 FAX WELLINGTON WINDOVY C�J002 <br /> Jun-11-2001 10:18am Fro�-CITY OF ORONO +A6224l4816 T-288 P.003/008 F-668 <br /> 4� <br /> • <br /> Sea�13�0��I('xHTS OP 9tB.]ECT3 08��'A <br /> SuGd.. !. Typa of data. 'Thc rl�t�a ot ladlv�t on whem rha dst�k steF+d or fo 6e ew�ed shaU be a u�toe�h in thi�Koaon. <br /> 3ubd.2. Yafotsasdoa rpukedlo be�Irm iodlvldusl. M iodivtdust esked m�ply Pdvaob oe wn[dtadat dapt vowsernin8ldmself sha1l <br /> 6e infvruied o!: (�tbe purpoee wd ia�d u��o[t6�requesad dam wf�ila tht aoUoodaf�=S�Y�P�Udatl subdtvi�ion„or atatowide syemm; <br /> @)wpe�her ha msy r�ise or is lagitly cequhed m ntppbr�e eeque�md dan:(c)eaY lmowu aonsequeooa a:isin�hnm ht�n►ppiY�B or rsfiufr�g o�suPPtY <br /> p�iva�e or coa�idendal da�a;sad(d)d��idanda of o�ar per�om or eaddes a+i�odud bY so�s vt i���w�to moaive rhe daa. Tbf:requaecneac sball <br /> noC ipplY whc�an indivEdual!s ssl'ed to suppty tnvesd�dre dsn,puesuaae m aocdoa 13.8Z,sub4[vu(an 5,to a law rnto►�c�mau o�r. <br /> ����rr�mi:slone����ysn�e mav olasu thr node� r�tred }� ���htt,�,bdiv� fe 1!u edividusl income mx or nrooeror wx refund <br /> insm�adons(ns�e�d nl on�ha�tcimt. • <br /> Subd.3. �aoss to daea hy ladtyidual. Upon roquen te a ce�ponsIDl��ho[id.�n i�vidud ih�l ba int°emed whaiher he ia rha subjeec <br /> of ato�ed dara an 6tdividaata.oud wb�er l�Is clauitkd a�publh.Pdvaw o�oonRds�l. ZJpon b!�N�er eequese.aa iadtvldu�l who u�ha subjeae <br /> ef stored privete or publk dwa�on�ividuela shxll bo s6own ehe do�a wld�ou�t�d�t w h4a and�lf 1ta 4°s��ahaU be infommd of du aonc�nc <br /> a�d moaain�o!�Ne�dan. Afwe at�Indiv�ual has bern cbown�he privsw daa�od in[oaaed of Ks meeaia8�t6o da�°eed p°t be diaalosed m hiia fo� <br /> six a�nd�a dusea�aee uNa:a dl�pua or ocdoa pur�uaita ro�hls aecdon b p�ndlna oc add�oa�!d�n on tk�e indtviduaL bas bean eollmeud or creamd, <br /> The�espansbN w�hodry ehsU p�ovida e�pi�e of dis p�ivaa�ar publlo d�apon eequea by rh�ladividnal eubJeat O!du da�. Tho ro�pnnsibls su�wRq <br /> may�q�+fn zhe�equesdng person to p�y the aem�l oo�t�oF inaktn��eeedt�It�.Aad eon�Pll�uB�s wplo�. <br /> The responsible sudwdq s6a11 cemply immediaalY�if poadble,atd�aa,y�eq�m�de puretsent co d�fs subdtvision,o�wid�ia 6ve days oP <br /> Wa da�e oi d�e�equss�.e7�aladiaQ Saaalays,9undqys teld lepal hofld�ye,li immadi�ce�om�+lienes!s iat pOssible. If lto caraaoe aomply wittt cha reques� <br /> w1Win�t dme,hs s6st!ao infonn d�cidividml.and mnyy hava tn addidoasl tiva daYa witWa wtileh W eomplY a�h tfte raqunse,axeludin�Sn�urdsys, <br /> Sundays and 1e8x1 bo4ldiye. <br /> 9ubd.a. Proeed�ue..han dat��i aot��ruu oe eumplete. Aa��my 4oa►ees au nca�+�aY oe complemnes�oPpublic oc privace <br /> d►oa eonaamjn�ht:sisall. To�ce�nfu�tta ri�h�eA lndivldtW ahW aadty ia wtfda8 da crsPoasibk wd►orEqr das�ibin�d►e new�o o!du df9eg�eomsnr. <br /> The�n3ponstbW aurhnriq�sl�ll wlddn,50 daqa eid�e�: (a)wtttioc the do�tvu�d�b�ina�unu or iaoowplen sad uxmpc co nodiy pu�sticipIon�ot <br /> ;naccurate or incompiar�daq,i�alt�in8 KolyleM�nent�d by dao lndiridusi:oe(b)�odly rho tadtvidual Wat ha believee fio da�eo bs co�acG Dan <br /> (n dlspum af�sll be disctosod only it the fndividUal'�saxmaat ef dlsagreemeoc is idclud�!with du diEatosed daa. <br /> Tho daeern�inadoa o[s6e�esfwasibfe audioda msy ba appaled pa�aenc w dw proviatona ot�a adan[alsaa�iva pmcadun eat ralaring w <br /> con[esxd cnsas. . ' <br /> p +� cY o�Y <br /> In aceordaaca wicti M.S. 13.��Subd,2, 'Iti;hts vi sub�eecs og daca"�we would lfka to inform you thac your requesc <br /> for a permit or lfcense from che City oe Orono or any o!its depaztmnace. may reqUire you to fumish eertaia private vr <br /> confidenclal inlorjnation. <br /> You aze nacitled th8t: <br /> 1, The informaaoa you furrtish w�A ba used to de�ermfae y0ur quaill�atioa for the p4tmic or licar�se tequest6d. <br /> 2. Yau u�sy rei'use w supply daca� bu� refusal may require �hat the C�cy deny tba permit or lieense� <br /> 3, Tha informaz[on may ba sharad wi�h othec loe�l, azaca or ft4eral a�encies co the axteat ancessary to process <br /> �he permiL or lice�se. <br /> 4. If your requested pez�mit or licaqse requires Couaell a�3oa w approvo, same iaformatiou may beeome <br /> Qulslic, <br /> 5, You have cer�atn d81i�s nnde�M.9. 13.Oa (availsble upoa request) �o revi4w privato data on yourself. <br /> 6. Your full name is raquired to proeesa rhis applica�ioa or permii. • <br /> � ^ . <br /> Ftrse �� � <br /> add� � � �C 1 � _ <br /> ,.,�`' <br /> ctcy � Z`p "� • <br /> I uadera�sad u�Y rl�hcs as atated abova. <br /> ��G . <br /> sign.a�re . <br />