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GiTY OF ORONO � b122494618 �31a1/OG 13:33 � :Q3/03 N0:478
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<br /> sec.13,04 R.1C,i17S 4F SIJB�f�CT'S�F D.#Ta
<br /> SubcJ. 1. Type of'dnt�. 'r'tte dp"�rs of i�dl�rlAusl an who4�o dam is siared ar m ba swred sbalJ be as 3et Ya�*,h in t�s aecdao.
<br /> SuFd.:. Ip1'osmatio4 seqtdsrd to}»�irm ladirfdua7. �t.a individu�l auk�d w r,vpply pnvat�or confidstvaxl dara c�nrorninQ himself shyi
<br /> he iaformed af� (p)Th0 pt3tF0lO il1C L7tCnd�t�USi Of f,�C RQLtBiAd dA�wftbld thG CaIIRCt�ag�tC agency,pollne�SUbCIlv7gi0p,Pf StA?Cwldt 6y7UCCn;
<br /> (b?whathmr ht may refvis nti it Iegally requsrec!;o s�:pply the requested dat�;(c)any knuwn wnsequeace uri�i�,"rom his s�P9!y�ny or rafUslnQ i4 supply
<br /> p�irss�or conl'ldendel da�a;�nd(d)th�1d�nnry of o�her pArsont�r�nnota authaRxed by s�au or federal faw to rree.ve�lte�t;,u Tnis requiremeut n��1
<br /> no[apply whan�n inclir•idua!ix asl:ed ta�wpply i�ti'esa=ed�a d+m,purSYeJlt to stcsivn 13.81,subdi�iaion S, tn u law enfa�cemenc atYie�r.
<br /> Tha�c�,mission�,,,_r ur revgnuG mav Dll._y„f� n�7�C 1'CtlLLiCld undr[ i�,,��i�isicn in she srsdividuz� inco e ia.i n�aronam t�x ref�nd
<br /> j,pam�csio��}�snpd of an oa_ fQ�{,
<br /> Sutsd. 3. Acces�to data by 1n81viduaJ. t�'pc,n raquosc to a�nsponsibko Au�hor.ty,an iaciiriduai ahtll be inPonn�1 whe�her he fa th:subjece
<br /> of stored dttta�n ir�iividuais,an�whz�ter it i�elassified as public, pr,vaca arconfidennal. Lpvn his fur�her requast,an in3iv�dusl w}uy is che subjccc
<br /> af stortd prira�e or public dnta�n indi�idu.ls shaJ1��sho�cha data wi�heus any charae m hsm and, if he de�ires,shall bn inY�rme�f of�he concen�
<br /> tncl rneanin�aY thac dasa. Aher sn in�ividuai ha becn shnwn rhC pnvq�a data a.�d inform¢d of iu mpa��ing,Uw dst�s rsa¢d not ht dis�iased tc�him far
<br /> six m�ntha therenitur uNnss fl dispure ar acdon�ursuaee eo ihis secncn 's pandfng er�ddicaonal daka on tha incJividua�ha�tecn coUccted ar sraatcd.
<br /> The responsib{n aurJsority shail provid�capirs oPthe priva:e ar public da�a upon teqaes�by t�c indtviduaf su`+ject of che da�a. Thc responsibla auth:�ncy
<br /> may �aguire rhe rrquaz�inB peraon�o pay ths�ccunl corn of makina.cartlyin�,�nc eomptling rhe:opioc.
<br /> '1`he respasraible au�ltorlry sha11 comply immediately, if yosubie,Wlifi LAy J'CqUDst mE�SE pUl"8U811{EO L�lIB!L'Fc�iVSSiOn,or wi�hl�y five days uf
<br /> du dAu o(K'�e r►yu�u,�xcludin�Sa�u�ayc.Surtdays and lesa!holidays,it,mmed3see compliance is nocposs�ble, IPhe curueu�c�ropty wi�`��he reqilesc
<br /> widiin that�ime,he ahisfl aa infartn che it�dividu�l,and may have an ad:litionA!hve days wirhia which to ccmpsy wi�h tha request,ercluding 5aturdays,
<br /> 5unday�tnd le�al halidaya.
<br /> SubcJ.a, Prucrdur�wLea dnt�!s unt aacura!■or complKe. An individual rnry cnn:as�[he�ccuracy o�cnmplecensss of puh[ic arpn��xrc
<br /> don Cancerning himsrt°. To Rxerci�C rhis right.�n indi�iduaI sha71 rioHiy in wrio�the rcipnnt�bia autYtoriry deaeribing�ha nna,re�of ths�isagreeme�r.
<br /> 'C'hm nspnn�ible auehanty shakE w;chir,3D daya eict:;r. (o)c�rrcct tha dau foued ro ba iaaccuisee c�r incomplete and aceomp�ea nndfy pasc recip;nnrs uf'
<br /> inaecarst�ar i�camplese data,includiny rae:pien[s named by �Se mdividua.l;nr(b;nn$fy ;he uidividual cha�he bel;eves d�e daca ro 6e cornct, Oara
<br /> in diaputo 9hu}i�+e di�sloied only if th�individua7'i t�YCmtru of disa�rcernant is L�cladtd wit1�the dtuiased data.
<br /> Tha GCternAinytioil vf Rha respo�lstble au[hnAty mr�y ba app�al�d purxuuu tu Uta provisioiss vl��e adttiitiia[ra�ive prucedur� aet telocin;tc�
<br /> eonoesnd ca?s�a.
<br /> �ATA FRNACY,��V�50R}
<br /> �n dCcordar:Ce wit.h M.5. l'3.04, Subd.2, "Rights of aub;ects of data', we would liko to inf�rm you;hat yaur requesc
<br /> fot � p;rm..t or license from t}��e City of�Jranes or any of its depurtr.�nts may reqLire you tp furnish etrtain ptivate or
<br /> canfidential rnfars;i�tion.
<br /> You are n�itifled that:
<br /> 1. 'i'he infocrnation you htrnish will b�used�o determ;ne your qualificatian for the porrzii;cr license requested,
<br /> �, You mdy refuse to 5uppty da�a, but r�tuy�l may requlre t�ac the Cfry deny che parrxuc or license.
<br /> 3. Tkte inforc�sasian tnay be s�ared wirh other 1oca1, s�ace or fedcr�l agcncics sa thc ex�ent nece.ssary ta prxess
<br /> the petaut or IictnsC.
<br /> A. If yaur reg�catod permi� or licensa rmquires Cuuac'rl action to apprave, sorne inforr.xa�ior may bec�me
<br /> pubiic.
<br /> 5. You have cercain ri�h�s under M.S. 1�,44 (avail�b]e upon reqaest) to review privace data on yours�lf.
<br /> b. Your fuli ntune is required �a process ttiis applica[inn ox permii.
<br /> firse Middte L�zc �
<br /> A4d►asa �� �.T.
<br /> —� ���
<br /> �ky Snte Zip Ahono
<br /> I undcrstsuld my ri�hts u stated above.
<br /> �.�-�- �' ��.��� T_.._._._....�..�._____ ..._�_
<br /> 9iRnun+re
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