Laserfiche WebLink
CITY .OF oRONO � 6124730510 04/28/98 07:33 � :03/03 No:422 <br /> Sce,l3.44 1ZIGFITS dF'$USlEC'�'S O�'D,1.'I'A <br /> 5ubd. 1. Trpe of da[�. Tha ri�hrs of isxdividua!on+vhom tac da�[a stotCd or to be swred a�all bc as�et forth in�his aection, <br /> Sutrd.2. I�formatioo rcqr.dt+d to be��cn Indtwtdual. M fadividual asfed to supplY�lrivase or canfld�nflal daca concem[ng hunself shall <br /> b+s!nlqrased of: (a.)�e parpase an4 ia�eded us�o[the rcqucsu�d dars WitA[a tho coilccan�5hte ag�dcy, poliacal subdi�ision, or aratewidc rysccm: <br /> {b)whethar he may rafusc at is leg�lly r��uircd w aupply ths reqtisestcd da�a;(c}�ny Lzavwn consequance arising from his supplying or r�llusing tci suPP�Y <br /> privaskr a�eor�fldtdpal d�ta:attd(d)tife id�nnry of ottscr persons or cnuqes authorixd by apte or fcdera!law to rocetve tha dara. hix rcquit�meat s6all <br /> ttpc ppQ3y�hbn�n individual!s sslced to suppiy invesayati�c dan. pursuAtl[to seCdon 13.82, subdiYis�na S, to a iaw enfurccmcnc oPP'1cet. <br /> �y6 GOQ�(�}i,�csi�ner ef�evany� i711v place ho ti a reoui under is suhdi�ision in tho��ividu me �ac Rrd[1�m x rcfund <br /> jnscruccian�9 insccad��4n rhos�forn�;. <br /> Subd. 3. Accasa to data b�(ndlridual. Upon tequcst�a rtsponsible author(ry,an indiriduai shaU be inPormcd whetheC he[s che suhjeu <br /> uf srared da�urt Individuals, anQ wAe�hcr it is classified as public, pnyate ar confidcnnal. Upon his ftirth�er requcst, an indlvidu9l who is!he subjec� <br /> nf stp�d pri�ace o�publjc da�a an individuals shall be shown rhe data wi�hout any charyo ca him and, if�c desirex, shall ba infurmed of the coacenc <br /> And meYuuing of rttat d9ta. Ahar nn indi�idual hss bctn shown che�tivace du�and infacmed of iu meaning,th�dara naed nut be disciosed tD tlu�[or <br /> s;i mbnths ihaeenhor uc13Eb�a dispute oi'acdort pursu�nt to this secrion is pcnding or addltional dam on tho individual b�s been collce[eA nr created, <br /> 'I`hn rGspo�sible authanry shRu pre�idr eopies of che pnvam or public dzta upon rcquast by th6�ndividual Subjcc[of Cho data. 'TT�c r�sponsible au�oriry <br /> may C¢quiea thes raquesttny person w pay r,�c u:n�al cost,a flC malcin�, caruhinQ, and�omp'sling che cogics. <br /> The rosponsfbfe�uthoc�ry sltall comply immadiarely, i!poasible,wittf any trquesc made pursuant ��la subdiYisian, or within five days of <br /> the dao�oPthm t�qu@st,exclud�nq S?�curdays.Sunclays and icgal Goiidays,if immadiace complianee is nat posslDie, If he cn.nnot:omply with tt�e reques� <br /> within tha[t�e,h4 shall so inform�he individual.and may have an�ddiaonal flve daXs within which to compiy wi�h Na rcques�,excEuding Saturdays, <br /> 5uruiays and legal ho4idaya. <br /> $u�,�', �oce+��,ara when d:ata Is not accarate or�o�plcla. An inQivldual may�onteat th4 aicuracy or cempkecncs�of public or privatc <br /> data cutteet�linQ hirt+selt'. 'To czcrcise rhts riQht.an individa�l 7hall noqf�j Ln wridng�he responsibia authanry describin�cha na�ure of ehe df»8�emenc. <br /> T'hs responsibin�uthoriry sh�fl within 30 dips nither. (a)corrcct dte dnte found to be inaceurace or incompiaea and aRempc ro nodty past reclpisnu of <br /> lneccuraa�ar ineompl�4e d��a, i�icludi�l$ recipicna named by the individual; or(b)noCil'y tha ind[vidusl ch9e he believes the data to be cocrec:. Data <br /> E�t dispuuc shnll be disclused on}y il'she indi�idual'a s�ntemont of disogreemor��is includ�d w'rth rht d[sclosed daca. <br /> The daarrninadon of�he responzibic aurhority rcu►y bn appa�ted yu�suant to Na provisions of sne adminisuariva ptoccdur� att rolaong tu <br /> contested c�aas, <br /> nATA PRIYACY ,�DYXSQRY <br /> ;n�Ccordance with M.S. 13.04, Subd.2, "Rights of subjects of daca", wc would like to inform you that your tequest <br /> Por a ptrmit or lic�nse from the Ciry of Orono or any of 1ts d�partments may require you to filrt�ish ce[�sin private or <br /> conf�dential informazion. <br /> You �.re notified �hat: <br /> (, The informacian }'au furnish will be uscd to decermine you�qualifica�ion for che pecmic or iicense requested. <br /> 2. Yau may refuse ro supply data, but refusal uzay rcquire thae th� City dcny the parmit or li���• <br /> 3, ThC Informacion tnay be sharcd with ocher local, s[a�e or fed�ral agencics to ihe extent ncecssary to process <br /> the permit or liccnst. <br /> 4. If yol�r tequest� perrnit or licat�LSe rcqul[es Council act4on to a�prove, socme inforx�acion rnay becom� <br /> public. <br /> $. You have certa.i� rights under M.S. 13.04 (avdiiabic upan request) co revicw pr�vate data on yourself. <br /> d. Your full na�e is required �o pcoc�ss this application or ptrrait. <br /> ,(, <br /> . ,--� F�� �� K U o.v,��2 <br /> Firsc MldQla Lass <br /> J3�/v �oN.,� F� /Dl <br /> �„��„ dYl n/ s5.3�� '��3 _Sy 35 <br /> GtJ�� z u �a <br /> Csty 5taua Zip PAone <br /> T understand my rights as s�atcd above_ <br /> �-� �r�+ Z C���`GT'7�-`7i�1Z <br /> Sianacucx <br />