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� Fab-03-�003 11:05am Fram-CITY OF ORONO +p612404616 T-866 P.003/003 F-236 <br /> . � ' <br /> S�a 13,04 itIGFiTS OF SIJBJBCT'5 OF DATa <br /> Suhd. 1, Typ�af daa. 'Ihe rlgEo of individual on whom d�e d��a is awred or w be scorcd shall be as ae�foreh ia c�is�ecaon. <br /> Subd.3. Iat'ormrtiva esquirad to bs�ren individuol. .1a iadividusl uked to suPP�Y Pri"�or soMd�ndil dsn eoeenmiar bimself sh�1l <br /> be iat'ocmed of: (a)d�c purpasa aad iaaended uu of ebc�queAcd dsw wid�Gu the wUe�aat lura a6e�r.Pelidc+l'aubdivision,or s�uowide sys�m; <br /> (bl wderher he may raNse oT to l.eralty tequlrcd to suPP�y s!►e requ�sad d�n:(e)any Imown cocurqaeacb■rlsiaII flom hb aupplytag or reNsin�m�uPP�Y <br /> privam Or epaficlential datx;�tad(d)the ideatity oF athe�pe�saas or emides�uth0eized by srsn or fedet�l law m neelvn the dstx. Thit cequinmrnc shall <br /> no[apply whrn aa lndividua!i:;�ked ro iuppty invesd�adva dsm,pur�nat w socdon 13.82,subdivision 5,w�►iRw�nforeemeai oft[aa. <br /> 'iha commisslnnar of ro�� e mav cisee che noelea reaulnd und�r Nis suEdlvEslon In u,e fncllvtduv 1ne.�me_rax nr�romm nz rtfund <br /> insnvotion►iruesad af on thou fg�. <br /> Subd.3. Aecas to dux hy iadiriduai. Upon rcquass w��spo�u3ble eurhonry,aa wdividue!shall ba iafvrmed whc�hnc bn is she aubjeee <br /> ot scomd dan on indiridwts,�uul whedur ic�S cleisa'�Ciad�u publk,pnvam or confidand�J. Upot1 k3a�furthCr rEQuOS�qa 1i3dlvidua.l�h0 is dle i4bjecc <br /> oP swred priyaQ or pubtic dara on individuats alwl bn seewn�e daa wieboue aay ehae��ro him�nd,t[he dealm�,eh�U bt infaca�ed of fie cancea� <br /> aed rtwaning of du�data. ACsar an individu�t has bean chowa cde pKvate dua aod info�med of in meaniay.��Qan nted nos be diselosed m him for <br /> aix monfie d+errafmr udaae a Uiapuu o�aarian punuarn ro ehis aaerion is p�nding oe addidoa�l d�ea oa dia lndl�tdu�l hRs bem collawd vr creared. <br /> Tha responsiblc aadwciry ahaU pcovidt eopies of the povue or pubtu datl upon cequoo�by du irtdivlduN suhJec�o!du dsa. Tha nsponelbl�Au�Aoda <br /> msy�quire We tequesdn�persoe co psy the scaal cos�s of making,cerdyin�,sad compilin�rhe copies. <br /> The reoppnsibla wthoaey shall eomply imrnediuely,if pouible,widi uiy�tt a�ede pursvant ee thls subdivtaion,or wiihia fi��e daya of <br /> dtn daca ef ihe requae�,ezeluding Saaud•ys,SuMays aad lu�sl lwlid�ys,if iumediaee eompliana ts nocposeiblr. If h�ea�aaotoo�uply wah d�e requosc <br /> wi[hin�hac drae,tro shsll eo infonn ihe individyal.and rtmy huve an�ddidoaa!£vr dty9 withia wlueh m eomply wifk thn rnquest,cxcluding Sna+�tlays, <br /> Sundeys and kgu holldays. <br /> Subd,4. Pf'OCMYt�v►ben dnti i4 nOt iCCurQ[E Or COmplltl, Ae iadividual m�y canne��h�accuncy or compl�na�ss o!public or prir�a <br /> daa coaceminB himamli. To exarcise chis righe,w i�dividuu�6ell noaty in wriciog d►e nepooabtt wd�oriry deeeefbiag rhe naeure ot dw dis4gnvmans. <br /> The responsible auctwrlty shatl�vi�hin 30 daya ei�er. (t)correcc d►e dtm found to be iruce�raoe or iucomptete and saempc w notily pas[rccipieu�of <br /> in4eeurnsa or incomple�e dan,imludiag reciplen�narned by rbd 1nQlvtdual;or(b)aodty d�e tndlvldual�hac he beqeves�o ds[s ro be correct Dam <br /> in dispum shall hn discloa�d anty ii t�e irdlvfdual'c ira�ment ot di,oagrcnmant is ioclnded with LLu Qlscloted dsm. <br /> The dc�nninceon of tho respoasibin sucbodry u�ay be�ppealed pursoant co the provisions ot eha ada+iaisuanve proan�uro eat retating�o <br /> COMeS[Cd casCs. • � <br /> AATA PstiV,ACY ADV'CSOYi`St' <br /> ln accordance with M.S. 13.Q4,Subd.2, "RiEhta of subja�s af data",wt wduld lik�to iaform you that your nqu�s� j <br /> for a peaai� or ticensa from the Clty of�rono or any of its depazuaents may roquire you w fumish cartain private or � <br /> confidential iafarmadon. <br /> You are noxitied cbut: <br /> 1. The informacion you fiunish will b�used to deurmine your qualiPEcatioa for the permit or license requestcd. <br /> 2. You may rafuse to supply daca, bu�refusal may requice �hat the Ciry deny the permic or license. <br /> 3. The information may be st3arad with ather local, s�ace or federal ag�Acies ro[he�xteut q�ssary to process <br /> rhe pertnit or license. ' <br /> 4. Tf your requatad getmit or licenso requirna Council acden to apprave, same Inform�iou mny become <br /> public. <br /> 5. You have c.ertain nghts under M.S. 13.04 (availabic upon request) to revlew private data on yourseff. <br /> 6. Yaur full name is required co process this applicution or permi�. <br /> � <br /> 7�-�'✓� �. <br /> � <br /> Firc: J+!lddle Lasi <br /> Addtass <br /> �uy Snte Zip Fhone <br /> I understand my righ�s as scsted abovo. <br /> _ � �i�-.-� <br /> Sientauc � <br /> /� <br /> �—�-�,- <br />