Laserfiche WebLink
TY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 N0:522 <br /> Stc.13.04 RIG�'t'S OF SllBJ6CTS OF DA1'�1 <br /> Subd. i. Type of dati. 'I'Re d�bcs of indlvidud oo�rhom the dara i�arored oe co be srorsd shall be a�see fonh ln dtis:eedon. <br /> Subd.�. Lilonaatloa rpvdr�d'to ba�i►tn lndt•iduxt. M lndividud asked ro supply privea or oonfidenae!dza cancarning hitnaelf shsll <br /> bs Info�of: (t)dte purpose�na intended uu ot dte requescal d�a whhiu thc coltecdn�Ante agenay,polidcal subdlyision,or snroxride syatem: <br /> (b)whecher h�may reNse oT i�legilly tequircd m supply rhe faqu�sred daa;(c)nny krwam coneqquence ariatng from his supplyln�or retl�sln�ro supply <br /> priva�a or confidend�(daa;and(d)U�e idenriry o!od►e�person+or entides aucho�ized by su�e or feder�l law N r�ceive rhe da►a. ThU tequtromeac shn11 <br /> not apply when an lndividuat i�esked w eupply invesrig�dve daa,pursuant co�eedon 13.B2, subdivision S,to�law enforcemenc o[Scer. <br /> o cummu�igna Qf � nuc ma� alace �he nonce reauired under is su6di�ision in ihe indtvidua� income �ax or oroosnv mx,nl�nd <br /> ._. imlNCdona in csacl u�on�►o�o forms. " <br /> SuDd. 3. Acceea to data by ind1�(dual. Upon reques�to a rcspansibie autlta�icy,rn iadi�idua�shau be informed wherher be b�e sub)ect <br /> ot�wrod dau on i�di�iduais.and wh�rher ic is elusified s�publie,p�ivue or conPldenaal. Upon 6is tUrrher request,an Uadividuai who i�rhe subjtct <br /> �f sto�ed pri�ue or public daw nn individunls shall be show� �he dan wf�houc aery ehar`e w him utd;iF he desirea,sbeq be infoimed of th�wnronc <br /> rM m�ening of d��e dua. After an individual his been shown�h�priv�u�dara u�d iafom�ed of iu meaning.th,e thn need noc ba diaelosed to him far <br /> si:awnrhs theroafier unleu a dispu�e or�cdon pursuanc m �his seedoa is pendia�or addirional�a on�t►e indfvidud has been oollecad or ereateJ. <br /> Ths rsspuruible�uthpriry ihall provide copiea of rhe privlre or public dera upon rcquesc by�he individuat subjecc of dro dara, 'Rrc reeponsible auchoriry <br /> tpay require the requeadn�persen ro pay d+e�mel cosrs of making,certit�ina.u�d compiHaB d�e eopi�s• <br /> The responcible authariry�h�ll eomply immedlately, if possible,with any reques�made pursuant ro d�is subdivision,or wiihL�five days of <br /> d�e date of d�e roquesc,excludin;3amrdays.Sundays ond l�gd holldoys,if immedlace compliance is not possihle. INhe canna comply with�he roquesc <br /> wld�in�hac rLne,ho ahall w iMorm dw individual,and may ha�e u�addlrion�l flve d.ys wlihin which m comply wi�h the seyu�st,axoluding Samrdays. <br /> SLnd�ye sed le�rl hoUdtye. <br /> Subd,a. Proeedure wh'tn dnia is not pceurata or eomplt�e. An indi�idusl m�y contes�rhe ucvacy or compleronos�of public or priv�ee <br /> d�a concern�himself. To exercise rhis righL vn indi'viduel shall nodtyr in wridno�he responsble sudwdry dacribin�d�e nentro of tho d(tasreemene. <br /> The ro�pon�l6le au�horiry sl�dl wid�in 30 days ei�her. (4)correcc the dam found eo be inaccucate or inc�mplece And�aempe to nodfy pric recipknu of <br /> irmecwate or i�amplete dpa, Includin�rocipienu named by the individual;or(b)nodfyr the individual th�t ho belleves the dom ao be¢oRee� Daca <br /> ip d{�pu�e ihall be disclosad oply if the indtvidual's sn�emeat of dlsaareemenc is includsd with�he disclosed dara. ' <br /> �'Ite deterttlinntion of�he respansible autlioriry mar bo appealed pursuani eo tbe pm�isionc o/the adminisuarive proeedure ut rolatins w <br /> wn�ested c�ees. , <br /> ' pATA PR A�'V CY ADVI$OItY � <br /> In xecordance with M.S. 13.04,Subd.2, "Righcs of su6Jects of da[a", we would like co inform yuu that your requesc <br /> for a permit or ticense from the City af Orono or any ol'i[s depar[men�s may require you to fumish certain private or <br /> confidential information. <br /> You are aatified that: <br /> 1. The infotmetion you fumish will be used to decermine your qualiftcation for the permit oriicense requ�sted. <br /> 2. You may refuse �o supply daza. bu� re[usat may require that che City deny the petmit or license. <br /> 3. The information aiay be shared wich oth�r loeal, stata or federal agencies to the excent nccessary to process <br /> the permic or license. <br /> • 4. . If your requesced permit or license requires Council setion co ap��ove, some infarmatlon may becomc <br /> ' public. <br /> 5. You have cena�n righcs under M.S. 13.04 (avnilable upon roquest) to review privata data on yourself. <br /> 6. Your full name is requir�d to process thls application or permic. <br /> . ��p� Cl� �'�.5.�i S � <br /> , � Firct M dle [.ut <br /> 1�� � .�p�. . .� , �-���� _ <br /> A�fpf . m yao� 9�a �3 �'' (�IV l� . <br /> ��� <br /> �ry Snoe Zip Phon� <br /> ' I•und�rstand my righte sraced abova <br /> Si�MN1C <br /> D,,,.. ..._ � m�. n n. � .nn�r n. _ i m� .. .. . . ....... <br />