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05/19/2003 12:39 FAX 9529184021 REGIS CORP 1�003 May-13-2003 OT:52am From-CITY OF ORONO +9622494616 T-445 P.004/004 F-829 Sec.13.04 RYCr�TPS OF Sr.lI3.lECTS 4F D�TA � Subd. 1_ Type of bata. The rishrs of individual oo whom tbc dara is stoted or�o be swred shall ba as se�Pocrh in this secrioa. 5ubd.2_ InPorutacion requued to he�veA inclividual• �n individual asked w supply privare or coafidc�dal dara conccrning himself shall bG informed of: (a)�he purpo:ce and iaunded usc of sha rcquesred dara wi�hia rhe colleccng�wu agency,polidcal svbdivisiou,or s�atawide syscem; @)whe�hen c�may refuse or is lesally nquiced�o supply�he r�qansced dara:(c}any lrnown eonseqvencp arisiag from t�is supplying or refusins co�vpply priva�e dr eonfidendal dan;arut(a)ihe idendry oP onc�r p�nons or endries aurherized by s�a[�or faderal!aw W receive nc�da�a. This rcquireroent shell no�apply when an incfividusl is asl:ed to suppty invesu5adve dara, pursuan�tn secoon 13.63,sut�division 5, to a law onforcamen�officer. The commission�r,�f revenue mav 1Rce �he notic4 rewired uncter rhis subdivision i� tha individual income �.1x or ra e tax rtfund i,�struGtions�nS�e1d of on thosb Porms. Subd.3. Access co dn�a by�dividual. Upon requesc m a responsible authoriry,an individuat shall be iniorrned�vheWer he is�hc subjec� of swsed dara on individu�is,s�nd whe�her ic is clsssifiod as public, priva�e or eonfidcndal. Upon his furtder requesc,an individual who is�he subjec� oY s�ered private or public da�i an individusls shall he shown�he ds�wi�houc any charge m li�m and;if he desues,shall be ir�Pormed,af che contcnt und meaning of[hac dan. An�:r an individual has been shown�he privs�c dao�and informed of ira meauiag.rhe daw naed not be disefosed�him for six mon►hs rharea�[er unless a dispuea or acrion pursuan�ro chis secden is pending or�ddirional deta on r,he individual has been collocc�d or crear�d. Ttte responsibie au�horiry shap providc copies of�hn privace or pubtic dara upon rcquess by=he ind�vidue!subjec�of tha dan. Tho Gesponsiblz gurhoriry mxy require rhe requesdnb P�rson to pay�hG accual cosu of malcinS�oerdfY«S�and compiling�he�opies. . The responsiblc au�horiry shall comply ia�mediatcly, iF possi6le, wi�h eny requcsc madc pursuar,[w�his subdivision, or wi[hin�ive dsys o[ the cls[e of rhe requcs�,exclndios Sao�rdays,Sundays and legal holidays,if lmmedia�e eompli�nce is noc possibtz, If he canaa�comply wich rhe requesc within tha�time,he shatl so iruorm�ha individual,and may have an a�idiaonai five days wi�hin wpi�h co comp�y witF►rha requas�,excluding San�rdnys, Sundays and logal holidays. Su6d.a. Procediu•e when duta is pot aecurate ar comple�c. An individual muy con�est�e accuracy or comple�eaess of public or p�i.�ace dara concnrning himsele. To exercisc�his righ�,an individus�sha7!no4fy in wriuns che responsible aa�horiey describing rhe naiure nf rhe diea,��emenr- The r�%ponsiblC aurho�ry shal[wichin.i0 dsys ei►her: (�)coacc�chn d3�a found w bo inaccur�w or incompfe�and a�umpc to nnsify pasc recipiCnes of inxccur�ca or incompleu anra, including recipirocs named by [he individual;ar(b)notify rhe individual iha�he bnlieves rhe dg�co bo corncc. Da�n in�Jispuic sl�all be disefoscd oniy if ihe individual's sra�emcnc oY disagrcnmen�ie inctuded with�he disclosefl da�a, Tl�e de[erminacion af che responsinle au�horiry tn�y be appealcd pursuan�w the provisions of�he adminisRarivc procedurC acc nla�wg to con�es�ed casas. DA7'A PRTVACY ADViS012Y In aecardanee wirY�M.S. 13.04, 5ubd. 2, "Rights of subjee�s of data", we would like to infarm you thac your requssc for a p�rmit or license from �he Cicy of Orono or any of its departmencs may require yvu to furnish eenAin privace or con�den�ial informatiou. You ace notified �hat: 1, The informacion you fumish wiil bc used tv determine your aualificatioa f4r�e permit or licensa requested. Z. 'You may rcfuse to supply da�a, bu� refusal may reqaire that the Ciry deny the percnic or licCnse. 3, The infocmation may be shared with o[her local, state or federal agencies to the exient necessary to process the permiti or lieense. 4. If your requested percui� or license requires Council action to apprave, some information may beceme public. S, you hav� cenain rights under M.S. 13_04 (availabte upon request) to review privace daca on yourself. 6, Your full name is required �o process chi.s applica[ion or permit. � �... c.��...� . �t L 1,....... F' s�� lddla Lust �� T � �,)��,�=` ��.._ . A$ cczs /-L� .�� G/ �.�'� ��_��C� ' 1/�v�-l� . - C�ty g�r� Z�p Phone I underst my rights as scated at�ove. . �...�...:. ,s� - .