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Apr-OA-1004 OA:13an From-CITY OP ORONO +A5124A4616 T-035 P 003/003 F-T35 <br /> . Scc.13.0� RICHTS OF SU9.1EC7S OF DA1'A <br /> Subd.l. Type of daca. The rlghu ot{ndivldud oe wlam the drta�S uored or to pe s�orcd�hs{i be u at tortb In tl�is teetioa. <br /> Sabd.2. laWrm�t�oa required m be glvon Sndlvideal. Aa Individoal aaked to wpply pri•ate o�coaGdtatlal data ooncereia=h�mseif cbap be <br /> �to„p�p et: (�)�e perpose ana Inceoded we ot tb¢requeuad daa within�e ooliac�ing stxa agency,poUticnl subdivl�Mn,or�[atowide iystem;(b) <br /> ,rbsther be msY reiusa or b kC�11Y rcqa{red to mpp�Y��requesccd dus;(c)anr iwown cunxqeoace arlsin=trom bt�►upplying or nMsiaC m sapply <br /> prirau or cooAd.utlaf dam;and(�thc Wendty°��°f pn'�`or�p°�ia°p��by��or(c��11•w�o nceivc cAe dst■.T6b requfrement UwN <br /> iwt appiy w6en sn indlvldud b�skcd w'°vP�Y�°v�g'�"'e dsu.panu■ne to rcesion 1�.82.subdiruion 5,w a I�w entorcemen�oMcer. <br /> Tbs eo s n�r o[ evenut mav ol ee sh� ntlee nn{r�yl�.�dcr h{�ssbdW{den tn tAe la�viAaal lnco tax or ntm+e*tv �x refra9 <br /> ���uet�000�ppesd ef en t xe fornLt <br /> ' Subd.3. At��s to G�ta by Indlvidusl. Upoo reQue.t to a responffbu euthoriry,na iadrvidoal fh*11 be i�torm�d whrth��hc b the anbJa[af <br /> itored daw on IadiriJuals,and wfiatYer h!s clas�ifud as pabUt,private or eo�lldemiuL Upon l�it tarsher request,an Individuul w6o is thc�ubjece of <br /> R�td privqte or pqbllc dtls on iwd{vlAusb shaU be fhowq tM daca without atry char6e w blm and,tf 1u dt�a'c�.thsll bo in[ormtd of tbe oosteat and <br /> maoioe of�at dan. Afa*s�in4irWw1 bas been�bown i6e prfvsto dacs•ad IMars�ed ef its rneaeln�.tut dats aca!not be diubfed to rim(or sis <br /> moniAs therattrr unlnss u dlspu�e or secion pnnnant to rLM seccion b p�nding or rddh(on•!dots o�ihe Indtvidoal Aa�b�an colketod or erested. Tbe <br /> rnpo.�le�uthority�6ai1 p.ovlde eopia o(she pHvate or publlc d+�n�lwn�equat by�he Indfvldnal aubJen o[tAeds�a The responc,'ble wiborlry m.Y <br /> �equ{re tbt rtqaesting porsou to pay tde aetual sostt ot makleg,crri{I�foz�asd compll{�tht eopks. <br /> Tbe respotuible suthoAty rbfl eowply imroediatelY.Yposs�le,whY any requc�t made pursuant w tbis subdWmion,erxithis flve dayseftbc <br /> date o(tho requtst�e�cclud(sg Ssturday�,Sunday��nd legal heltAaya,It Immcdi�te comp�na 1.no[posyibl�i(he cannoc eomp{y witb ehe roquat wicbin <br /> [hst tim0.fie►Ysl1 io Inlorm tAc iadlvidurl.aad may Aavn ao sddulonal tive dsy►witbin w41cb to comply wkq c6o requat,escluAingS■mrdays.Sundays <br /> aal leg�l6olida�a. . <br /> Sabd.4.Procedu�e wYta d�ta ie oot�c�roPate or tomp���.A�iadivldu�l o►vy tontat the accnruey or comp(ttrnas of puDllc orprivste dsla <br /> coaterning himsel(.To axerel90 this r(ght,�n Indlvidoa!aM�U notlEy io w�ldng tbe►espoalible�uthority doscribiag tAe nature of tho Ji�4gret�acot TAo <br /> rpyppflbtc wtberiq tha�l witpin 30 day!cicber: (a)��N the dat�tonnd to De Inaccurou or Intoroplete�ud a�ie�npt to aotlfy p�sti tedpient�of <br /> lasccurpte or intompktt dsty IodudinS teclPirata nsmcd by tbe ip01�1dua1;or(b)notity tdc lndlvidaal tbY�he believet i�e data to be rnrree�. Dsta io <br /> dk�►pta shaB bo direlosul only If�be IndiriUu�P�svueme.�of d�isz.am;��u��ua�to�b�ro 1 0�t tLe admioiur�tl•o proudura sc�relating to <br /> 'Y'he detcrminstion of the reaponsible swthorhy maY be aPpen A D <br /> coaustM cues. <br /> DATA PRIVACY VYSORY <br /> In accordance wich MS.13.04,Subd.Z,"Righu ot subjects of data",we would like to inform you that your request <br /> for A permit or license from t6e City ot Oronu or say o[its depArtments msty require yoo to furaisb certain prirate or <br /> confidentiAl information. <br /> You sre notifled that: <br /> 1, T6e information you furnish will be used to determine your qualification for the permit or license rtquested. <br /> 2. You may refuse to suppty data,but refusal msy require that t6e City deny the permit or license. <br /> 3. 1'he informatlon m'y be st�red with other local,sWte or federal agencies to tbe ertent necessary to process <br /> che permit or license. <br /> 4. If yonr requated permtt or licease requires Council 9etion to approve,eome intormation awy become <br /> public. <br /> g, Yoa 6ave cercain rights ander M.S.13.04(available upoa request)to review private data on yourself. <br /> 6. 'Yoar tull ntimc is required to process this applic�tion or permit. <br /> �.:r. ily. � �� � t.:�.. ;.�,� <<: _ <br /> �Flrst <br /> Mlddk , Lwt <br /> - c +,. <br /> i� - �i G_ <br /> Addrut <br /> �\ � �� �_1� � `, _ �71.I �, ....,i.ti�� ' 1 C <br /> ; . •�, <br /> ,L �� �� r :; , a-�, :. .(� ,� <br /> Cirr Suco Zlp , Phone <br /> I underst�nd my rights ss stated sbove. <br /> � __ � <br /> ' . ; �,Li_.r - -- <br /> =.�-. <br /> ,. ` <br /> Sip.crre �_._. <br />