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�Y OF OR�NO � b�2473Q5�0 09/�4I9b 1�:00 �g7oQ3/03.Nme5�2 <br /> . <br /> Sac_93.04�IGi�'Y'��F 5(J&!£C'fS OF DA'P.a <br /> Suhd. 1. 'Ty�se o�data. `�Re elgbts of indlvidud oi�whom the da�is-srored ar to bo srocsd 9ha11 be as set for�ls in ehis aectian. <br /> Subd.3. H�or.�atlom reqtdradl�ba�i+en ladt•tdua�. An lndividurl askad to supply prive,re or oonfidendal dat�cancarning himaelfahal! <br /> bs(nlo�ned oP: (t)dle purpose attd intended use uf the vequesud da�wiahia ehc eollecdna 9tate agenay,polldcal subdivisian,or atarowide syatem: <br /> (�)whe�her ha mar raPuse oT i�leBa1�Y required cn supply the eaquested dau;{c)any known eonseque�sce atiting from his eupplytng or iafUsing to supply <br /> priv�ca or cenflden�t�i dara;and(d)atta idendry o!odier persons or endoes au�hocized by su+e or fedetal law en e�nnive rhe da�a. T'hE�requiremenc shull <br /> �oe�pply wheo an lndiriduel i�eskrd eo supply In�esdg4dve daa.pursuanc�o secdoa 13.82,subdivision S,to a I��+enfoecemenc oPPfcer. <br /> , , <br /> �j1Q,ic{��i�agner�P[rygmae m �a place the not�ce repuirad under is subdivisin in the indtvfdual income tax or oroosm r�z�:nel�ind <br /> . _` inauuccions inst�uc�u!on�ioso tgrmg. ' " <br /> Su6d.3. A�ceaa ta data by 6�d[oid�al. dlpun rcquesc to a eezpnnsibie authariry,en lndiYidual shall bo infocmed whather he!s the s��bjeec <br /> o[�toted d�ra on endivi�uals.aibd whe�tme ic is elassiFed a�public,p�iv�te qr canPldential, Upon 6is tLnher Rquest,an individu�l who is�he subjtct <br /> • oistotad pri�ece oc pubUc dau an indlviduals shsll be sho�•m�he dara wirStouc any chaeQa w him end;if he dea(rea,sha11 be infotmed of the cot�ten� <br /> oRd s�an}ng of d�at.dam. After an individu�!ha9 been shoWn the priwte dara and infonned of irs meaning.the data nend ewt ba diac)ased w him for <br /> six nfnnrhs thereafrnr unlesr 9 dispu[e or�crion pursuane ao rhis seedon is pendin�or addirionrl dara�n the iodividual has been onllecced or created. <br /> T'he tsspuntible�uthQriry eh�ll pro�ide copiea of du privare or public da�upon requese 6y�he individua!subjee�of�e data. ?he responsible autha�iry <br /> pjsy requiro�ho roquearin�pmrsan ro nay d�e aemal cos�s�f maicing,cartifyine.and eompiUag rhe oopies. <br /> 'ilie nesponai6le au�horiry.ahall comply immedi�tely,if possibte,wirh anp eequese made pursuat►t u►�his subdivision,or wid►In fi�e days of <br /> d�e date of ehe reyuea�.xxctuding Sacuedays.Sundays and Iegd holldoys,iP immedfaea compllance is not po9sible. 1f'he cattnot comply widt the eequesc , <br /> evithin tha�clmo,ho shall aa inform eha tndividual,and may ha�e an addiianal five d■ys wid�in which ee comaly.Wich che request,exeluding Saa�rdays. <br /> S�ndtye snd le�wl holldaya. � <br /> Subd.4. �sateduea Mrheu alnta is net ticeurete or eomp!¢te. An indiv�iun)mry con�s�ihe accuracy er complereno�of publtc or prirace <br /> dva concom�bimselP. To exerci4e�his right.4n indi'viduel shall nouPy in wridng�he respunsible suct►odry desezibing�e na�uee aP the dlsagreemenc. . <br /> T'�e eeapenalble authoriry aBell withi�t 30 days ei�her. (a)correc�the dam found�a be inaccueate or incomple[e end aaempt te noafy paa teeiplencs oE <br /> inaecuinte oe Inc:amplete dpra, Includin�recipien�nam�d by�e individual;or(b)noqPy the individuat that ho belleves the dam co be oornece. Dara <br /> ia c(�Cpu[e ahall be disclosad a�ty if the uuflvidual's sn�amen[of dlsagreemanc is included with rhe di�elosed dara. ' <br /> 3'he decertnination oP che respansible autl�oriry m�q bm apprrted pursuani to 9ho provisionc of ehe adminisendve procrduem act relarine� <br /> con�e9ted cases. , <br /> ' �I�TA �Rj�CY�,��/Y�ORY. � <br /> ln accordance with 1Nt.S. 13.04,Subd.2, "itights of su6jects of data°, we would like W inform you that your tequest <br /> for a permit or lic�nse fr�m the City af Orono ar any of its departments may requlro-you to furnish certein privato or <br /> confidential information. <br /> �'ou are aadfied that: � <br /> 1. The inform�tion you furnisfi wt11 be used to dccermine your qualification Por the permit or iicense requosted. <br /> 2. You may refus� to suppiy d:ua. bur refusai may require that the City deny the permtt or liccnse. <br /> 3. The information may be shared with other laeal, state or ftdetal agencies [o the extent nectssary to process <br /> the permit or license, � <br /> • 4. . 1f your requeeted pern�it or license requires Couucil aetion [o appcove, some infarmatl�a may becorne <br /> ' public. <br /> S. You have cer[ain rights under M.3. 13,04 (available upon tequest) to review private data on yourself. , <br /> � Ynur futt name as required to process.tbls applicztion or permit. <br /> , Ftrs[^ Q � ls '� Lssc <br /> "a •-- <br /> m ., �� 5-5�20 l�v�- 3 ���(� <br /> � � --' <br /> ci� . - �a� z� ��oRo <br /> ' I•u d stand tity riJg � sta[ed ubovo. <br /> ignasuae <br />