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TY OF ORONO � 6124730510 <br /> 09/24/96 14:00 (�7 :p3/03 N0,52� <br /> , . <br /> Stc.13.04 ItIG1�TS OF SUHJ�C'fS OF DAT.t <br /> Subd. 1. Type of dab. 7Ae cl$hts of iadlvidu�t oq whom the data I�iroced or w be stocrd�h�l1 bs at sat forth in thi�ucdan. <br /> Subd.2. Inlormodm reqtdr�d tv b��lod(.Wuai. M(nd�vidud asked ro iupplY P�wa or aonfidea[iV daa wnasrdng hinuelf,d�all <br /> be Intortned of; (t)tho purpoce u�d Wtaaded uu ot�hr nquesced d�a withlA thc collewint wie a�eaoy.polldeal aubdlyisian,or snrowide syuem: <br /> (bj wfiether M n�y rafl��e oT is le�ally tequired co suQply du rsqueual dw:(c)�rry kAowp eoouqueaee tti�ing from hls tUpplyln�or selltsln�ro aupply <br /> ptivua or ooaMendnl d�a;and(d)il�e idenriry of od►e�personi or endaes�uthorized by su�e or federal law m rr.ceire d�e dau. Th�requ►rcmeAt shul� <br /> ��PP�Y when�n indiridu�l i�esked eo mpply lavetri�adve daa.pursuani to cs�don 13.82.subdiv{sion S.to�I�w enfo�cement olfker. <br /> .� <br /> 7ha cammu�fonor Qf revertue me� ehce the no�ice reas�•� ���r rh�sybd(�isfon in ihe ind�,vldual,,;�mcome ax or orooem nr m!(trid <br /> --_� I�K'i_�IOlfi I��t�Oq�t0/0�Ot�. y <br /> �Dd. 3. Acceu to data by indi�fdual. Upon rcqueu ro�rciponsible wthority,�n lodi�ldwl sLall be Infonned whather 6e b the svbjecs <br /> o[twnd dru on indivi�uis,aad wM�her ic is clusified a�publi�,p�irue or cw�lidemW, Upon his A�rther aqua�,�n individuai who I��he subjaet <br /> of aotod pri�oce or public d�a nn iad[viduds siull be ahoWn�l�e dan witttou�ae�y eh;tr�e co him and:if he de�{tes.ittdl be infotsmd of the con�enc <br /> ud n+eonln6 of d�at.da�a. After an iadividual hu beao shown the priv�te diu and fafomKd of iu meaning.ffie tlaa aeed aorb�dtxlosed to dim for <br /> d:mondu tkenafier unle�a dispuce or actian punuant m �hi:see@nn is pendta�or addidoml dan on the Utdividuv haa been aolleeced or creaCod. <br /> Ths r�wn�ibie�urhpriry elull pcov�e copia�of che priram or pubik d.a upon neqvesc br rhe individual wbj�ct of da dan. The ne�pons�ble iu�hc+�fry <br /> eHaY require d,e raqueain�P�r�on ro pry dro aCad coc�s of mafdaa.urcifyin�.ud compfllu�dw eopN�. <br /> The aespon�ible wthoriry.�t1 comply immedl�t�ly.if possibk.virh a�reques�made purcuant oo Wis�ubdivi�on,or.rid�n flYe day�o! <br /> dts d1tE Of{he roquet[.EXCIydIQB 9tdl[diyi.Sundays�nd k;a!hollday�,�f im�n�dlace compllance is not po�siblo. If1�e eamia comply wkh d�e roquesc <br /> althln thu dme.ho�ball w infortn rlw ladividual,aad may ht�e an.ddiriod�l flve days wlt6in which rn compty whh d►e eequest,axcludkfs Saturdays. <br /> Jvn�yi ud le=rl holid�y�. <br /> Subd.4. A'OClIIW'�MLiq IIOIP is tb1 OClYf/t�Or CO�pIKl. An indivWual m�y coineu the ucuraay or wmpierono�of publk or privaro <br /> diu�eoncornln�bimselt. To axercise dus dQht.an indi'vidwl shall naify in tvridno du re�otuibk aurlw�y dquiblo��a nawro of iho d(tyreemcnc. <br /> 'fhe rv�poa�lble�u�horic�r�hd!wid�in 30 days euher. (�)correcc the data found w be inuwr�te or incompleoe�nd aaempt ao nodfy put raeipknu of <br /> in�ocunts o�I�caropleu dpn, Includin`rccipienu named by�e indiv&lual;or(b)nodlSr the indiv6du�t thu he belleves the dus to be eorrece. Data <br /> lei dl�puie ahall be dlsclo�ad anly if tha indlvidwl's saiement of dla�reeman[is Inciudad with rhe diecloud dta. - <br /> ?1u dotsrminarion of the nsponsible authoriry maY bo appe�led yursvant w�pmvisbuo e!tha adm{ninndve proeedurn act rtl�cin`w <br /> wnce�ed cues. <br /> . a�TA gBTYA�Y�Pvi$ORY <br /> In accordsn�o with M.S. 13.04�Subd.2, "Rlghcs of suliJecta of daca". we woutd like to Inform you that your rcquesc <br /> for a permit or ltcenso from the City of Orono or any of its�depar[trnents m;y raqulra you to furnish certain privuc or <br /> confidential Information. <br /> You are natified that; <br /> 1. The information you Pumish will be uscd to determine your qualificacion for the permic orlicen+e requasced. <br /> 2. You nuy tafuse to aupply daza. bu� tcfusal mzy �equire that the City deny the petmlt or liccitee. <br /> 3. The infarmation rnay be shared wich othcr loeal, scace or federal agenciea ta[he exunt nce�ssary to process <br /> the permic or llcense. <br /> • 4. . Yf your requeated petmit or lic,ease tequicec Couacil aetlon to appcove, some infarniatlon may become <br /> ' publ�C. <br /> 5. You have cen�In righcs under M,S. 13.04 (av�able upan request) to review private data on youraelf. <br /> 6, Yaur full nnme is requircd co process_thls applicuion or pennic. <br /> • �l�.t'C'�_ d�i.► � � . . <br /> , �rn - Middle� �ti <br /> - �i ao �.�o-� ��, s�. � a�� <br /> ,�, . . <br /> �1c�cmr:�Y.o, �� - ' Y�n� S �.Q.�. �ss� 3 ys-. �a y�. <br /> ci� - �� z� �� <br /> � <br /> � I•underat d my dghee as :caced above. <br /> SiBnoNro <br />