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Jun-06-2002 '�.05am From-C!TY 0� ORONC +55224846!6 T-386 P.00T0009 F-1�6 <br /> °ec.13.03 R7GH7'S OF SUH,I�CTS OF DqT.�► <br /> SubC. 1. 'Y�pe oP data, 'i'he�;ghts of individua3 on whom thc dara is scorcd or to be srared shall be As sec Parth iz ihis sccti4n, <br /> Subd.2. Iafartteac}oe required to be pvea fndividual. An individuai asked to supply priva�e o;confidentia!dxn coacernutg himyclf <br /> sha�!be inYcr^ied e[: (a}�;z p�,����k���sr af rhe reques�ed dau wi,hin cho cvliecung scxt�a6��Y,poli�ical subdivision,or s�a:swida <br /> sysrcm;�b}wheshen c�may refcise or is PegalJy reQuired m supply che requcsccd da�a;(c)any lcnowa cansequenee�risiag from his supplying or <br /> refusing ra supply privs:e o�sa�lmcal datu;and(d)ihc identiry of o�her person>or cnddes authori,zrd by scatc o�Ped�ral 1aw eo rcceive�ha data. <br /> This r:quirer.ien[shai!not spply wAan en individual is asked to wpply inves:ibacivc dat�, pursu�nc ta secty0n i3.8?, subdivision S, �o a taw <br /> enforcerneru affce:. <br /> � c cn ' ' er n° v o c c ' tc1 unQet jhis cuh�livi4iort in C i 'v ' ' cn x r o e r <br /> insr:verienS in+trad�on[!��u fn�<. �it�L...�QLr�lY_.aX..rcfund <br /> Subd. 3. Aeeeu to dato by indivldual, �fpon reque>c ro a responsible au�horiry,�n individuaE shali be infarrned whc�er he is�a <br /> subjecc flf Storcd data on individuals,ard whe�her ic is clA�aifieQ as public,pri+a�n or wnfden�iai. Upon his turther requ:sc,an iadividual who <br /> is cha st,bjeet of s:ored privatc o;publi,:d�p�on indivi�uals s�tai]be s��nwn�Y�e d.n�withou�any charga cu him and, if he de;fres,shall bc informed <br /> of Lhe can�ent and mcaniag ot that dara. Aftrr an individaal has been shown�he privacr da�a and inPnrmed of i[s mcaning,chc dara need not be <br /> discIoud to h,ine for six monUis dsarcaircr unless r dispuce or action pursuanc ro chis sccrian is pc,xlu,g or�ddicio�ai d:�r��n�he inaiva�ual bas baen <br /> coi;e�sfl or creased. T,�a responsiblt authorip+shaU provido copies of thc privaTe er pyyji;dara upon rrques�by shc individual subjecc vf the d�ni, <br /> Tht responsibkc ausherGry may rrquire che requescing penon co pxy eh�acn,Al cusrs oP meking,cer�iFying,xnd compili�he copies. <br /> 'i'tse responsibk�u[har;ry shall comply imntadiaieiy,if po�:iible,wiu�a�ry requesz rr:nde purwanc sa chis subdivision,or wirhin five days <br /> of tha dacc of ihe reqaest,exe3udiny 9aturdays,SundKys nnd leg�;Itioiidays,ef immcdia�a compiianec is aot passibl�. I,'he;annoc eomply wi[h <br /> che rec�:��c wiihin sha�rime,hc s'�all so inform rhe indivictual,as�d muy RRvr an addiciar,al five dsys within which�comply winc�he requesc, <br /> czclud.^g San�rdays,Sundays a�icgai holidays. <br /> Subd.a. pFocedura w6eA daea is not accurate or complete. An indi�idual may eenccsE�ho accuracy or eomplaceness of pubiic or <br /> privscc�asa consarnins himac►f. To exetroist dvc right, ut individual;hall notify In wriring die responsibtc auctsuriry doscribins tho nseur�Of che <br /> disaercrment, The rasponsiblc au�heriry shat!wi�hin 30 d�ys ci�her: (u)correct�he dara fowid to be;n;;ccur3sc or�ncomplete anQ attcmpt to norify <br /> pasc r.:i;.izn�of inAccurare or incomple[e dap„including reeipicnia rarnaQ by thc inQividaal;ar(b)no�ify dte individnal Ihai he believes tAc data <br /> ro be eortee�. Dara ia dispvre shni!be disclosad only if rha individuat's s�aeement ef disagreement is inc!uded with che disc9osrd data. <br /> 'IAe decarnur�aaon of rhe responsible aushoriry may ba rppca!ed pursuar[to tha provisi�ns pf che admin:straava procedure ac�::t�dng <br /> to aonies�ed cases. <br /> DA_�i'�.PB�A SdRY <br /> In accordance with M.S, 13.Q�, Subd. 2, "ltights of subjeca of data"', we vaould Iibe to inform you chat your <br /> req�,�est for a permi�or licea�e from the Ciry of Orono or any of us depanrr:encs may require you to furnish certaui <br /> privac� or cor.�dernial informacion. <br /> You are notified that� <br /> 1. The information you furnish wijl be used to dztecmine your qualifcation for zhe permit or iicerue <br /> requestcd, <br /> ? Y"ou may refust to suppiy data, bu�re�.;al may require that the Ciry deay the permit or liceasc. <br /> 3. The inforcraation may be shared wi�h ot��er Iacal, s�ate or federaI agcr.cics co tht extent n��essary to <br /> pr�cess the permit or license. <br /> a. If your requested permit or license raquires Council acuon to apprave, some informa�ion may become <br /> public. <br /> >. You hav�certa:n rip,hss ander M,S. 13.On(available upan request)to review private data on yonrself. <br /> 5. Your fuli name is cequired to process t,'�i.y application or permic. <br /> .,l� l_ I� ��� i j�)� lj ,j _ � � �, <br /> �z:�t ,. ht;an�� t,a�� <br /> ' i l���, � ; � <br /> x�at�� - <br /> �, � <br /> '� ���j�� I i� �`, �� I ��)� ii., i, ' � ;� , ';,; <br /> C'ry Sta�e 2'sp Fhone <br /> I underscand my ri�3its as Stated above. <br /> - -���L�:��-�--, <br /> s�$;� � ....� .�i <br /> , <br /> 6 <br />