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TY OF ORONO � b�247305�0 09/2419b 1�:00 � 003/03 N0;52� <br /> • , <br /> . <br /> Sec.13.04�1GIiT8 OF SUHJEC'O�S OF DA1i'.a <br /> �ubd. 1. 'Type oP data. 3'Ae a1�b�s oP individuml ou whom the data Is-sroced oe�o be scomd sh�Yl be as see fonh in this seeaan. <br /> Subd.3. I�Po�atlon roq�r•d�o ba gl�an ladi�idu�i. M[ndividu.l nstced co suppiy privace or oonfidenda!daa concerning himself,�hall <br /> be Intoomed oP: {a)the pu�pose at�intended use oP the vequestal da�within the eollecrLiQ Bta�e agenoy,pcUdcal aubdiyisian,or atarowide rystem: <br /> (�)whettier h�mar raPuse ot is teg�lly required co supply rhe raquesced dau;(c)any known eonuqueaae atiting from his aupplying ur ref�sing to supply <br /> privffita orson�ilden[fa!dem;and(d)�he idcnnry o!odtier persons or endoes authodzed by s�a+e or federal 1Aw en erceiYe the dara. Thf�requiremenc stusll <br /> �roe apply when en individuel Is nsknl eo suppiy lnvesrigadve da�s,pursuant ro secdon 73.82,sub�llvisinn S.to a law enforcemenc oPPFcer. <br /> , , <br /> 11►e cnm i�agner Q ��nue maV +alace �he�oc�ce reauircd under rhis subdi�isic�n in the individu�l income taX or oroosttv r��,;rol�ind <br /> .__` j�4�lona in r�a�t u�on�hc90 l�r�. ,� <br /> Subd.3. Arceas to dat�by 6ndlviduai. iJpon r�quasc to�Pezponsibie xu�honry,tn ladiv�dual shall ba informed wherher he!s t6e s��hjecs <br /> o(owred dKia on is�dividuais.and wha�hmr ic is elissified a�publi�,p�ivue or conffdential. Upon 6;s fttnher rcquest,an individual who is�he subjtct <br /> ofi stoisd priru�or�ubllc dau an ind(viduals siull be sho�►m►he da�s withouc sny shaeee tq hi�and;if he deatrea,shafl be infonned of tha ca�Cen� <br /> rnd en6aning of d�at dam. After�n individual has been shown ahe pri���e dar�and infonned of ira mesning,tl►e drn naed ewc be diselased to him far <br /> aix stondu theraafter urilesi a dispu�e ar acrion punuan�eo dtis secaon is pendin�or addidonal dara on the individual has been oullected nr creatcd. <br /> �a rsapunsible�uthp�ry ah�ll provide copies of rhe privare or pubiic dea upon requesc bq�he individuat subjec�of d►a dnra. Tht iesponsible autha�iry <br /> rt+ay requiro tho raqueatin�pmnon ro�ay dio ac�usl cos�s of making,oartityine,end compHtng rhe eopiea, <br /> The nespueiaible authoriry shall campiy immadia[ely,if pouible,wfth any requese mRdo pursuant cn Wis subdivision,or withln five days of <br /> rhe date of ehe PequesG xxcluding 9acuedays,Sund�ys Hnd 1eg�t halldays,if immedlaca complianCe is not po9siblc. If'he cannot compty with the eequesi <br /> wlthin tha�cLne,ho ahall sa inPorm eha lndividuat,and may ha�e an addl�ional f ve e■ys wid�u�whicb m comply whh she requesc,excluding Saa�rdays, <br /> 5l9fldry8 And legal holldaye. <br /> Subd.4. �taeedure whQe elnta is net aceurate or eompl¢�e. An indfv�iunl mny con�s�thn accu[acy or comple�enos�of publle or privu�e <br /> d►a coneern�bimselP. To exeecise�Ais right.�n indi'viduel shal!uoeiPy in wtidng tho respunsible suchodry dtsetibl�g die nantre uf the dltegroamcni. . <br /> Tftt eesponplble wuthotiry�Itell widtitt 30 days either. (o)correct the data found ro 6e inmccurate or incumplece and aaampt to nodfy put reciplenes oE <br /> inaecucnto or Iqcamplete dara,Includin�recipfenee named by d�e indivtdual:or(b)noqE�ehe individuat thet ho b�lleves the dam co�e corneeL Data <br /> ip d�pu�e ehall b�disclosad e�ty if ehe uuflvidual's sraam�nt�f dl�sqrcemnn�is includad with�he di�closed da�a. - <br /> �'he determine�ion af�he responsibl�au�lioriry m�p bo sppnled pursusn�so 990 pro�isionc of ehe adminirwdve pracrrlue�act relarine w <br /> conreered eoees. . <br /> � ��TA��cX A�vH�oR�I <br /> ln accordanc� with ib�.S. 13.04, Subd.2, "I�igh�s of su6jects of data°, we would like co inPorm you that your requesc <br /> for �perrnit or lte�ns� from the City of Orono or any of its departments may requlro-you to [uenish cercaia private or <br /> confidentlal information, <br /> 'You are �a[Ified [h�t; � <br /> 1. 'The information you fumish will be used to decermine your qualifica[ion for the permic or Iictnse requested. <br /> 2. You may refvse to supply d:ua. bur refusal may require tha[ the City deny the perm�t or licc�lse. <br /> 3. '!'be infurmation rnay be shared with o�htc loeal. state or fedetal agencies to the extenc�cce�sary to proc�ss <br /> tha permit or license. <br /> � 4. , If your requeeted pecmit or license requirec Couucil aetion [o appcove, some infannatt�a may become <br /> ' pubtk. , . <br /> 3. You have certain righ�s under M.S. 13,04 (avvlable upon request) to review private data on yourself. . <br /> 6, Yaur fu1! name es requircd to process.tbis app]ication or pecmic. <br /> . �c�. ��SQ�..� <br /> . �;�� - ,�rtddr r.,:t . <br /> U�.��c�-� s�-. sk.� a i� _ <br /> �. ; . . , m � , � a 95a ��oy <br /> e�cy - - 6aecs ' i tp Pho,im <br /> � <br /> ' t•und�rstand �ny right� 9a stated ubove. <br /> gnQ�u� <br />