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Feb-16-2005 �9:36am From-CITY OF ORONO +9522494616 T-597 P.003/005 F-410 <br /> Scc.13.44 RIGEi"Y'S OF SL�.�CTS OF DA'CA, <br /> Sabd. 1• Type af data. Zhe rights of i�div�dua!oo who�the dztx is stor�d ot m bc stnred shs11 bc�s sec forth in�is socti4a: ' � ' <br /> Subd.2. Iuformatiaa req�dred to be�rea individuaL .+.n iadividusl askcd�n svPB�Y Peva�c or confideada]data cuaoerniag himcalf s�.tl1 <br /> be informed of: (a)�tie parposa an6 ia�eadcd u.se of the�equesud daac wir.hin the eollccting tnu ageucy,poGGca1 subdivisian,ar,s�at�wide SysTcm; <br /> (b)whcnc�r he m�y refvse oc is IcgaU,y requin.d to supply ihe requesud dara;(e)aqy kaows causequeoce arising fmm his supplyiag or refusing to supply <br /> privac�or confidcn4al da�:and{d)rhe idrntity 0[o[her persons or eaaries autho�ized by sta�e ac frdcral law ro recaive ri�e da�. This cLquiremcac shali <br /> uoi apyIy�++hen as�isu3ividual is asked m supPly investiga4vc ds�.Pursu��co sccpon 13.82.subdivisioa 5.co a 1aw cnforcement o[�icar- <br /> 'i1u c 'ssioner of�evenue m� acc chc noace rc ired under is subdivision in thc indivEduai - come rax ar o crev�x iet'w1d <br /> inSiYSJCLI4 insteffd Oeo thbSt f6R�'.-. ' <br /> Suhd.3. Access ta d.ata by indiridual. Upon reqvesc�o a rzsponsiblc aud�oriqr,su iAdividuaI shsll be iuformed wheihcr kc is th�s►+b3eec <br /> of storcd data on individuals.and wGcther ii u ciass�¢d as public,Pt'IVSLC OC COIIF1dCR�J�. ���1�S f1ilG�lCC�L'QL�CSL.�3AC�lYiQt112 WISO 1R�1C Su{7�CCL <br /> af stored privau or pu6lic data on individuals sha.G be shown s�e data wichou�xny chssgc W him and:it he dcsiro9,sh�i1 be infarmcd of tke eonr�ac <br /> , and mcaning af if�at dara. After au iadividua[h,�s bccu Shawn dse priYat�dacs and inParcaed of ks meaniag,�e da�nr,cd Ao[he discloscd W hIm for <br /> siz manihs thereaher uNcss a dispure or aeu0n pursua��W chss secdon is peading or addiaanal dara oa tha iadi�idusl has bcen cqlleered or escxtcd. <br /> Tttc reapansiblc aurhoriry sha1S provide cepics of dze privuc or publie da�upan request by rhe individ�l subjcot of thc da�s. Tha raspansbte�urharisy <br /> raaY�+cquira�he roqucstin8 person W pay�he setual cosrs aF inakin3.eerrifying�and comps7ing tha eopicS. :: . <br /> _ Thc responsible au�honq+sha11 eompfy immcd�accly.iF pessible,wirt►say t�quest made pursuant w dtis subdivision.OC wi�in ftvo days o! <br /> che date af�he requc5t,excluding Satt�n�i�ys.Sundays and Icgal hoti4ays,if imruadiar�compliance is uat possb�c. If k�cannot cor.�pty with rhe nqacs� <br /> � wichin tftat rime,he shall so infoRct�he individual.and auy hsve an addirionat�ve days within which ao aa�ply witii thc inques�exciuding SAnudzys, <br /> Sundays uid 1eg�1 hotidays. � - � ,, <br /> � <br /> Subd.4. Pracedurr whea data is not accurate ar complete. An tttdividaaF tnay eoatest d�e aceuracy pr comp[etcrtcss of publk or privatL <br /> data conocming himself. To excrcise[his right,an u�dividual shali nnofy in wriong d�c rospOnsibie authAYiry describing d1�t�ntre of Cu diSagi+eemcnG <br /> 'fhc responsibIc auchoriry shall widtin 30 days ei�her: {a)a4rnet che da1�f�und to bc inacwratc oY incomplcte and aaempt to aadfy pass recipi�ucs of <br /> inaccuratc ar incompie�e dsrn,iaeluding rccipiencs named by thc ind[veduaI;or(b)notify the individual rhat he believes iha datt to'be corc�ecs-^Dat� <br /> in dispu�e shall be Qiscloscd oNy if thc ind►vidual's siacemen�oP disagreemea�is includtd with the dise[oscd data. <br /> , The dcterminatian of dia responsible au�horiry m�y be appe�lcd pursuanf W�he pmvisi0ns dC�c adaunisffaavc procedur�ac�nlatin3 to <br /> Conus�ed cascS. , <br /> . AATA p1tIVA.CY AIlVI$Olt`Y <br /> In acCOrdancC with M.�• I3.Q4, Subd.2, "RiQli�s of subjects of data",we wauld Iike ta inform yoa that your xeques� <br /> foC a peruliL or 3iCense ftOrii �e City o�Orono or atxy of its depaztment5 ttlay requirt yoa to furnish certain pri'vate or <br /> confideatial infarmacion. ' � <br /> You are notified that: c� . : , <br /> i. 1'he inform�[ioa you fusn,is�wilI be u5ed to determiue your qu�iftcatioa for the permit or Iicense requeste�. <br /> �. You snay refus� to supply data, but rafusal mzy rcquire that th� City deny the permii or licease. <br /> 3, The information may be shartd wir.h other local, sta[t or federal �gencies to the ezteat necessaxy to ptocess <br /> the permiE Or liceaSe. � <br /> 4. Tf your requts�ed ptrnxii or license requires Couneil actiorl to approvt, some infDrmacioa may beeome <br /> public. ' <br /> S. You have certain rights under M:S. 13.04 (available upou reques�} to revicw private daca oa yousself. <br /> 6. Your full namc is required to process dais applie�iion or permi[. <br /> 1�n - - �co u ,� . . <br /> Firsz � Middtt �t <br /> S ...3,� S�T �/c .... _ . . <br /> � �ss �/ _ �,,3// �6.�— ��—.�.� 3 <br /> �P� ��` - � -- <br /> ��� Su�e � Zip Phonc <br /> T einderstsnd my rights as stated above. <br /> `�� C�� ' y. . . <br /> $l$S11A3CC , <br />