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TY OF 4RON0 � b1�4730510 09/24/96 1�:00 � 003/03 NOo�2� <br /> . <br /> s�.��.04�lGlf'�'�OF�UHJEC'�S OF�A1{'A <br /> Subd. 1. TygQ of d�ta. `TAe li�bts of endlvidus[oi1 Whom the da�la smred or co ba scocni shall be as sat forth ln ehis seedan. <br /> Subd.1. I�oneatlon roqudredlc be�l�en Iadl•idece�. A►t[ndividual nskad ro supply privace or aonfidena�l data concarning hitnaeif,chalt <br /> bs Inlonned of: (o)B]�e purpose altd ititanded uee a�tne vequesruJ d�ta within the callecdnQ�au agenay,polldcal aubdiyisian,or�nro�vide sysmm: <br /> (b)�rhesher h•may mPl�se oT is legafly required en zupply rhe�equ�sced d�u:(c)any kaoam consequeaee ariting from his supplying or mfUsing w suppiy <br /> privi�e oc cent(den�tal daa;and(d)�he idenricy of odie�persons or eaddes au�horized by su�e or federal lew�a reerive�he dara. T'hts requireme�c ahull <br /> �o[apply wheo an Individuat i�askec!eo supply inve9rigtdve daat,pursu4nt to ssedon 13.@2, subdivision S.eo a law enforeemenc ofPFcer. <br /> ,., <br /> a com�}�igna QP evenue mqv �lace rhe no�ce reeLuited under is subdi�isiRn in �he indlvldu�l income �a�c ar oroosm r�z�reflind <br /> --...•- ��fCTIO. nt in6L�i44�4�on �c o f�rre�g. , . � . . � • „ � . <br /> SuDd. 3. A�ea¢s eo data by 6ndividu�l. Upon rcquest to a rccpnnsible auchonry,en indi�fdu�l shall be infonned whasher 6e le the s��hJeee <br /> ot ocored dru on individuafs,aied whe�har ic is classified ai pubtia, p�ivue or conPidendal. Upon 6is tUrd►er Rques[,an individual who is�he subjtcc <br /> of stored priYaie or pubUc dau on indiriduals stull 4e shoWn�he dars withoue�►y chu�e w hi,a snd;iF he desirea,ahe!!be infotmed of the contenc <br /> ' and m�aning of rha�e datu. After an irntividual hs�bean shoWn eho psiV�u dar�and infomad of its mesning,the d�ns need€wrba diaclosed to him for <br /> si:asnndu thereaftnr unlete a dispute or action pursuant m ehis section is pendia�or addirionri dara on the iodlvidual ha�been oullecced or ereated, <br /> Ths tsapotuible�uittpriry t6v11 pro�ide copiet�f the privare ot public dara upon requesc by the individual subject of d+e data, ?he tesponsibte au[hariry <br /> ensy reqaire rhe requearin�poeson ro pay d�o aemel cosrs of making,certityinQ.and compflin�rhe copi�e. <br /> 'It�e rasponeible au�horiry.chalt comply immediately,if possibie,wi�h snY roquesc made pursuant cq Wis subdivision,or wi�hin five days of <br /> �e dare of ehe reyueaG excluding Satutdays.Sundays and leg�l holldays,if imsnedlaca compllanco is not po9sibla. 1f'he carmo�somply wi�h d�o roquesc . <br /> withln rha�cl�na,he shall oo i�►form eha individual,and may ha�e ar�addltional five doys wid�in whieh m eomply�ifi the eequese,exdudlag Sae�irdeys. <br /> Sbn�ye and le�wl holidtye. <br /> Subd.4. Peoeeduee whep dnia�s net aceurota or eomplete. An indiv�lual m�y con�es��ha acceusoy nr comple�eno�a of public or privuu <br /> daa�oneorn�nR himselt. ?o exercise ihis right,an indi'viduel sha11 nod�in wridng�6e renpunsible au�!►udry deseribl�g d�e naatro o(�he dlugroemcnc. . <br /> T'he tespenalble authoriry sl�sll wid�in 30 days eicher. (a)correc�the dam found�a be inaecunte or ine�mpleu And etumpe te nodfy pue roeip(ems oE <br /> inaeeucate or in.camplete dwra,Inetudin�recipien�a s�amed by �e indivtdual;or(b)nopf�r t4e individual thet ho belleves the data co bo oorreee. Dua <br /> in d�pwe ehall be diaclosad a�ty if tha uuflvidu�l's saiement of dlsaq�eemenc is tncludsd wirh rha di9eloud dara. <br /> 'i'Ne determination of�he responsible autlmriry may bv appealed putsuani to 9he provisions o(ehe adminiruadve proceduro act relacins w <br /> conce9ted Cties. <br /> ' 1DATA PRYVA��1pVI�QRY � � - <br /> ln socordance wi[h 1btf.S. 13.04,Subd.2, "Itighu of su6Jects of daca", we would like to inform you that your requesc <br /> for a perntit or license from che Cicy of Orono or any of its depar[ments may requlra you to furnish certain privaio or <br /> confidentlal information, <br /> You are �otified thar. - <br /> 1. The information you furnish wtl!be used to determine your qualificacion for the permic or lieeasa requesced. <br /> 2. You may refuse eo snpply daca. bur refusal may require thac ehe City deny the germit or license. <br /> 3. 'I'he infornsacion may be shared wich oth�c loeal� srace or federal agencies tn the excent nceessary to process <br /> the permic or licensa � , <br /> � 4. . If your cequested petmie or license requirea Council aetion [o app�ove, some infarmat[on may becomc <br /> ' public. <br /> 5. You have certain righ�s under 11+t.S, 13,04 (avulabte upan request) to eeview private data on yourself. . <br /> 6, Yaur full name is requircd to process.tbls �pplicmtion or peanit. <br /> �► f�r,,,��Q(1 � <br /> � F1�a� � �o.��-- �-�-�z �, �.� _ <br /> � . �. <br /> �m�: � ��`'l�zo ' . . <br /> cicq . - s��a zip Phona <br /> � <br /> ' I•u rstand my righte ab staced above. <br /> gnow� <br />