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CiTY OF ORONO � 6124730510 09/29/97 13:53 �1 :03/03 NO:OZ8 <br /> , � � <br /> s�.�s.o4 wcFn's oF svarrcrs oF o,►r� <br /> Subd. 1. Trpe ot da/a. Tht rt�ha of i�►vidual oa wttom tb�dsn is aocsd ar m be scoaQ sqsU be sa ut fo�th ut r!W tectop. <br /> S�cbd.2. lntaemWoa req�dr*d ts��m fadMdoal. An Eadlridual a�i�td to faPD�Y Drivso�or con6dsndai daa eooeernia:bimseJf sAall <br /> b�lato�d ot: (a)qee purpoa aod;aundsd uss o[�hs ieqossad Qao wtd�ia�be coUecrip�ataoe ajeoc:y,poliucal Ribdivisfon,or�aoewide sy�um; <br /> (b)wAe�r h�nuy r.f1�w o^r is l�plly reQutiesd w aP9�Y rhe�eqvasud d�n:(�)�ay Imowq conscQue�o ui�iaY levm his auPP�r'�si v�rclL�in�[o wDF�Y <br /> ptlwt�or eoMd�ndt!Qut;�r+d(d)tbe ideadty ot otlser penom or sariues w�bocit�cd by saro ar fedcral taw to recd�e tde Qia. TAis rvquiremsot sbill <br /> ece�ppir wh�n ap lndtvidyai l�uksG to iupply Utvadpdra daa.purwa�t to ucnoo t3.31. abdi�ision 3, w�!aw entoecement of!lcer. <br /> I�t ��s�tontT of[ars,:s4 msr DIisC the nanee reoulted uadtr dii�ubdivqion in ihe indiYidu� incorty sax or v�owtxy aa roft+nd <br /> iatteuet�oas msuad o(Qn tf��e lornu. <br /> $ubd.3. Ascas to Q�ts br todJ�idwJ. Upon nquex m a rsspoasiD�e wshorfry,ao lnJirMn�l shall be inlonaed whe�hcr ha is tha subjcct <br /> o!tmad dltt oa Ldividu�.�nd whe�er it i�classifi�d as publie.priraa or conl:dtncal. Upon his furthrr aeques�an iadiridual who iy tde iupjecc <br /> of uored pd��ae or puDlk Qsu on wdi•iduals�s�i!De shown du dua Widwuc aar ct�arss co him aoci, f!he desues, �6al1 De intocspod of dys coaaa� <br /> ud awain�of d�u dw. Albr�n Indiv�dual Au Dsea slwwn tlse peivw Qsts uq ial6,ms�d o!;a,ac:nia�,ih.daa n.ed aoc b�disclo�ed oo Aim for <br /> tbt n�ood�s�natfer unbea a dl�uos oc.crion punuarc w slJs ucnon 4 pecdle�or addiooaa!daa on tM iad+v�dw[bss Deen cuileeeed u eresud. <br /> 'I'h�nipoaslbt�awhaciry tlt�ll pco�ide copicr ot die pcivioe or pubtic daa upon csquar Or�e tndtrtdwl wh}ecc o!dse E�n. The respoiufbl�aunc�riry <br /> suy hquin Qtt nqw�aln�ps�son co pay chs actu�t cosa of makh►i.attltyie�,u+d compitin�the copia. <br /> Th�eriponsiDN wtbotity�a1i coniplY iovacdisoclr,if pouibts,wub aay roqupt made pursuanc ro thu�ubdi.rvi�ion.or witLia 5r�days of <br /> du daw al ths ssqwu.�xcfudia=Suordayi.snnday�.nd k�d holid,r�.i!irtutadiu+ccrtsptiaact it no�pos�fible. If he caaaot complr wid�the nyuesc <br /> ntd�fn dat dme.M sAslt w IMonn�hs iadhldusl,ud mry Asve an addiconal�days wichin wluch ro wmply wi�h the rpwai�exUudta=JawrdaY:, <br /> 3utdsy��ad k�sl HolWays. <br /> Subd.4. psocsdnre wh�n data y not securst�or compkte. M tndirid¢a!may contrst the aceuacy Or completeaes�of Qublk oc privace <br /> 4aa tonarnii►�him�lf. To txsrei�t dtiis ri�ht,tn indir iduai�hali aonty�wrida��e respon�(bie:uCwnry descnbin�tl�s aanice of��dfu=reemeat. <br /> 7T»re�pon�ibl�andsoriry th�ll Wi�!►in 30 d�yi ei�her: (a)correct ths dua fouod ro b�itaccursw vr incompleu�ad ae�empe to notify pase eeeiyienu of <br /> iaaccutaae ot i�orQpisca dsn. itscludity recipieaq aameQ bp�s fndtridwJ:or(�!aodty du tndividcul thu E�belieres the Qaca ro bo correcc. Data <br /> tA El�pat�sh�U b�dlsc�on0 onlY if ttx individual't�stemeet of dltyrte�utet b tac.bded wi�tae di�ctoted dan. <br /> 'Ihe d�ntmfaatioa of�tse rsspoRsibN wdsocity rasr bs �ppaled purruu�t ee tps prorisans of tha�dmini�eativs procedure ut relatin� co <br /> conaa�d caw. <br /> AATA PRIVACY AD ORY <br /> In occord�ace with M.S. 13.04, Subd.Z, "Ri�.hu of subjcct�of data", we would likc co inform you�hat your rcqueat <br /> for a penait ar license from the Cicy of Orono or any of its dtputmcats may n�quire you to fuinish csrtaiu privace or <br /> confidentiai infotmuiou. <br /> You era notified that: <br /> 1. The informatian you t4�raisA wilt be used to Caera�ine your qualiCculon for the permit or licanse requ�sccd. <br /> 2. You uuy nfuse to supply data, but refusal uuy tcquire thtt the Ciry deny the peralit or Ifcease. <br /> 3. The ialormuioa may be shared with achu local� itue or lederal agencia to the excsnt neces:ary to process <br /> the pecmit or licecue. <br /> 4. It your ttqtusted permit or licease requfre� Cou8cil action to spprove, some infortaation may become <br /> �ai�. <br /> 3. You have certain c��hts uader M.S. 13.04 (available upoa requat) to review privace daca on younetf. <br /> 6. Yaur t1i11 nune Is requind to prvcat chia sppiira[ion vr permis. <br /> �� �.���(2.� �'�-+s.(Z_ <br /> rrr� � i„� _ . <br /> 3'S�1 �'.�-�o�o ���T <br /> �.�. s��1 S�'3-�1 �-I�y - �1 � z 1- <br /> c�l.g►o� <br /> Cic7 Zno Zlp lbo� <br /> I rs y rf jhu a� stat above. <br /> � <br /> �isnaars <br />