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Sep-2T-2002 '�O:Olam Frem-CiTY OG GRONC +9522494616 T-'33 P.003/�03 F-322 <br /> . <br /> Sec.13.0A RIG�'S l�F 5C�.IECTS O�'�AAT�1 <br /> Subd. 1. 'Cype of dasa. I�c righ�s ac`,ndividuu oa whcw�b�d3��s sicnd or�o bc swrtd shal b�as se�for�h in cttis secdvn. <br /> Subd.2. Woemaiion requited to be pYen iadioidual• .an ind�vidual asked w supply Qrivs�e o�conpdonnal4a�a concerning tims<lt sAai! <br /> be informed of: (a)�he purposc zod iac�ndcd use ot�e requesud 3ata wi�i��he collcenng is��z ageney.poliocal�:bdivision,or s►aeewide rysiern; <br /> (bf whether he:nay nfuse ar is lcgally rcquind co s4pply she nqvasted d��:ic?s►tty lozo'"m eonsequ�ace ar.sins Prom his supp�Y�S or te�using w suPp�Y <br /> privl�e or conf�dentiffi Ca�t;aad(d)the ider.uryiv���sdp�ti e damePursuane m�s«ci ny13 82�subdi��or 5��4 a`'sWtC(1fOKC[0.niSoPfiue;Cmeac sball <br /> noc apply when an individua[is askcd zo supp. 8 <br /> 'J'he CO m.issionar of re•:enue m:l� lace'�n'�_�—Ctl r^' uired under ilt,3 subd'vision in lhe indi�idual inccm.t ss_„or oronem �ar. refund <br /> ins[ructions inSsesC ef nn thOce fo s. <br /> Swbd. 3. Aceess co dat�by individaaL L'pon requcs<<o a re:�onsible au�horiry,an►ndmdual shali be utiformc4 whect�n c�is the subjcct <br /> o.`stored da�on individuals,and wheche^ic iq class:ficd as public,pri��te or confdend�l, Upan his tur�har reques�,an individu3l who is�he subjecc <br /> uf ztored pnvacc ar public d'eta an ind�vidu�ls shall bc showrs the dan w��U��u�Y chargc co him and.iP hc desiros, shall bs mfocmed of�tu contcat <br /> and mean:ng of chsc daca. A`cer sn irdividu�l t+as ocen snown che pr.v�;�dau and�ntvrme4 of i�aieaaing. �e daw naed no=be discioscd ro him soT <br /> six mon�',s rheresner un;ez�a�ispuu vr aenon pursuxnc�� c1'�is secnor�is pcnding or aadirienal datis on�e individual has been collected o�crexc�d. <br /> Tho respcnsibic au�horiry shall g[ovide r.opies ui c�e pnv�ce or public d e�Po�n r a�s��bmp ��e�d,Q`sb�rct of�hn dara. The rosponsibfe au�ho:icy <br /> msy 2quire ct�e requesiing petsen cc pay�e un:a."osu of m9.kin&• fY 8� <br /> ;he responsibte su�:oritY sball comFly imr.iediscciy, if possible,wisl+any cequesc made pursuani co itau sub�iiv�s�or., or within fi��c GaYs of <br /> che date of ihe requesr,<xeiudiag Sa�=d�5's,Sundays arid lagal holidays, if immcdia�c compliunc�is noG pas%ibia lf ha canco�=omply wich che rc4uesr <br /> wl�h�n�hat�imc,he shaU so iniocro shc in�ividuul,a.�d mA�hsve an adcicona:fve days�xidtin w�ich w cortsply�'ich�he rr4uast,excludir.g S1eurdays. <br /> SunduYs����Sat hulid�ys. <br /> Suba.4• Procedeue whEn datn is not accurate or complete. An indiv;dua;m�y con�.�s��nc ucur.�cy oc comp[cceness o!'Fublic or pm•ace <br /> daa ceacemiag himselP. To axer:ise e7is righc,an�,ndiviCual shx!!nucsfy�r•writin6 che responsibtn aushonry acsenbinS�he oacure oi cha disagreemanc <br /> '�'he cesponsibic auchoriry shall wichin 3G days eihcr: (aj cenecc zhc dasa found ro be i-�ccu�ce or incomFte�e and aacmp<<o noefy p�ss t:c;p,er.0 cf <br /> :nacau�a:c or incomplau dam, includinL recip�encs r.amed by thc individual;oc(b)noafy�hc individu�l�hac he bclieves cbe Qaa co bc Gccrcet. Aac� <br /> in clispu�shaU be�i9ciwed cnly it tk�e ire!1�idusl's s�se�nen�oY di�agrecment is included wi�h shG disc:�sec daa. <br /> Thc determinaion of�he respons:5le auehuriry may be appraled pur:uanc to�he F:ovisions of ha �dsunistxxdvt proc5du[C�cc rel�cing to <br /> eonctsced cases, <br /> DAT� pR1Y'AC'Y AD�'T50RY <br /> L�ac����C� We f om t:�e C ry of Orono or anY of is,departsz�ents mayw�4u'uc }ou �of furn sh certairn�pri�ace or <br /> for a permic or .icens <br /> confidenteal i:►formatioa. <br /> You are notified chat: <br /> 1, The info:mation yvu furnisn will be used Eo de�ercnine your qual:fieatiozs far tb�permit or license rcquesced. <br /> ? You may reftist to Sugply daca, buc tefusal may require that c�e Ciry den}� che permit or license. <br /> 3, "the inforr.lacion may be shared wich oc�cr 1ocx1, staee or t�dera� ageaeies so the exteui nece5sary �o�roeess <br /> ehe permiL or licrase. <br /> 4, If your requested� permit er Sicense requires Council action :o approve. �ome iafoz�tion may became <br /> public. <br /> g, You ha�e cenain «Sh�s ur.cier :ri.S. l3.04 (3vailable upen���`st) to review privace daca on yo�rself. <br /> b, youc fuil name is requir�� ta proc�ss this appiica�ion or <br /> _�--�� �� � <br /> Fics= M'.d���l'��j� � Lasc <br /> c <br /> �� <br /> � `" � �, � 3e1 <br /> I►ddrrss �` � , ~ � `'�� � Phaae � I <br /> �v. <br /> S�act Z�P <br /> Ciry <br /> j unde :nd my righLs as s:aced above. <br /> ___.J.----- <br /> Ssgn��ucr <br />