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Feb-CB-2002 02:08Pm From-CITY OF ORONO +g522494616 T-647 P.003/006 F-248 <br /> . , <br /> Scc.l3.04 RIGHrS OF SZISIEC'rS pF D.�,TA <br /> Snbd. 1. 7'pp�ai data. Tha t'►8�s 4F 3Adi�du�t on whom,�e data is sm�c or m he smerd shaU be as sec tor�in�i3 sccdoa <br /> Subd.2. IaTormaticn req�red m be g�vea iadiridQal. Aax wdiriduil sskcd:o su�piy pcivatc or cout5denrial dan coactrniag hemsaF�sbsll <br /> be infar�ed of: (a)�he puiposa sad inuu�dcd usc of thc�qacsted dsrs witlu��o colle:an8�C agcaCY,PQuucal sabdivision,ar st$tcwidc Systcui: <br /> tb)wherben c�msy�f�se or is IeS�Y�9����PPIY�G�4'�emd da�;t�I�Y 1�w a coasequeaec arisiag from his At�ptying or reivsia8��PPZY <br /> . privarc Or eonfidena9i data;aad(dj�e idaadry of odter persoas tt��utid�S tushotized by :tate CC i�deral law w rsccivc t�c data. 'rhis requiremeac shaQ <br /> no�app[y wheA an"tndiv[dual i5 dsked m iupPl3'fnvesdgadve d�m,pursuaat w sxdoa 13.$Z,s�sbdiv4sioa S,to a taw cnfosaemeac o(6cea • <br /> Tha mminissianwr,of rcvenue tt�v plxee dsc noacc recuic�d utlder thi,s„svblivision ia tha i ividuai intome rax o�afloaern+raz�fuffi <br /> instivctians inscead oP en thnse fa:m.s. . . • , <br /> Su6d.3. Access to datz bp iadividc�l. Llpon rcqaai oo i respat�sihl�=ut�o�i�y.au i�iriduai s6a!!be iatorwed wiudlor Le is$�e sabjeet <br /> of So6red dara on individuais,and whed�er`ic fs el�sified as psi6lic,privare or coafidend d. Upon his fur�cr rr,q�asc,au ia�vidu�l whe is use subjcci <br /> oF sraeed pcivatc Or puhlic data on iadividuals st�xU bc showu�e dsta with4u�aqy ehar 1e ao him aud.'if he desires.shaII 6c�fo[axd of die con�eaz <br /> aAd inesn�g of t6at daa. Afier aa iadividuat has bccn showu iko privue d�ffi aad Wor ned oF ics me�g,thc Qara�eed nnt be disclose3 to hiAt tot <br /> siz moncl�s tharcal�r uatess a di5gac�0��ctioA pursuaer m�is secdoa'ss pendiug oc u di$au�l daea on�e individusl has beca�olleersd or aratai. <br /> Ttu tssponss'ble su�tt4tlry shall providt cap'ic5 qE tku ptiYart or public data upon c�qtics�t y the iadividual�ubjacr o[�e da�. Thc respans�ble auc6onry <br /> psay caquuc the tequesdag pG�son ro pay d�4 aeaui eos�s of reaidug.rxraf3'inS.and ca�apiiing ihe eapies. <br /> Thc respoas�te authori�y skalt cpmpty immed�uly.if possible,wiih aay teq aest mada pUtxuaat oo this subdivisoCn.Or wid3lfi ttve days of <br /> rhe daic oi�w cGquest.cxcludin$Sanudays.5uadays aud tcgal holid�ys.if immedisse co nptiaace is ao�possibt�. If hq�ac r.a�ly wi�the s�queic <br /> wid�in tt�at ticnc,he shall sv iafarm she�ndividua[.aad c�y havc aa a�idiaoaal frn days+.�thiu whieh�o eomp�y wit�tk�i�es�ezclud'ea8�Ys. <br /> Suudaps and legsl holidays. , . � <br /> �abd.4.-Procedars when dat�is uat accurate or ccRapict�. Ais ie�dividual maY eontcsc�he gocuracy or eompte�ucss oF pablk nr pavat,� <br /> dat�C9ncenuag hirasclf. ?o eae�isc this:ighc,Rn individua!shali uodfy ia wridug tEu r+:spoass�Ic aut�►4ricy dtsan2fiag!he aawm of We disagt�eemem. <br /> T�tespotcst�tIc authociq+sl�at#Withia 30 days either. (aJ�rosircc�e da�a found to Ix en�curat�or incomgle�s aad auccflpt w uodfy pas�recipicuts of' <br /> iaar�ur�e Qr it��osnpktc dsia,iactudiag secipients pamed by zhc iadiridnal:oc(b}anti�y tIw i�iivi�t sbac�e 6e17eves rhe da�w bc cor#eec. Dam <br /> in disput�siiail be disclossd anFy if d�e itidividuai's staiemcrU 0f di�:.grerc[ucal is intlud.�with�e disdosed dstn. <br /> Z1�c deoera�ation oE the nespons3te�cfwaty snay ix gppeslod pursuant m cbe proviSions ef�e sdmir�s�ativc proccdtuz aa t+etadq,to <br /> cantaso�d ases• <br /> AATA P1tl�VACY AbYIL�1RY <br /> �t axordance with M.S. I3.04.Subd.�, "RightS t�Fsubjects af da:a",we wauld like to iaformyou that yQurx�quest <br /> for a perinit or Iicense from the City of Orono ar auy af it�dtpa�tme sts may reqttir� you to furaish certaizi private or <br /> confidsuzial information. � - <br /> Yau are notifed that: � � <br /> 1, 'l�e ix►formatio�you farnish wilt be used w determi,ua yo��r qualif�catian fat the petmit or lieense reqaested. <br /> 2. You rn�yy refuse to Supply data, but refusal may requir� that the City deny ckte permic qx licease. <br /> 3. The inft�rspation inay bt shated wirh other local, state or Fe�ral agencies to rhe extenc n�ss�y io pt'aeass <br /> �permit or license. <br /> 4. If�our requesr�ed permit or lictuse req�ires eouncil ac xiou td �p�Cove� $ome information ufay ba'.ome <br /> pubiic. � � � - <br /> S. Yau have cercain rights undar Ni:S- 13A4 {aw�ilable uF an requesc} to review private data on yourself. <br /> 6.• Your full na.n�e is required to proc�ss this application or germi[. <br /> l�� ���' �-� �✓'� ��"�� �� .. _ <br /> F�rsc� sy� (' �c� �t Lasc <br /> �C. �% <br /> ^� <br /> .�aa��e:���� ��(�'!� ,�//� � � _ _ 5���� <br /> � , �'� ;�-� G'fS�. �f <br /> �� Srstt Zip Pltoae <br /> I nader�tand my rights as scaced abeve. � <br /> C-�-'-�''��' ���� ----— - r--�_ , <br /> ${�3Cilt , .r <br />