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Apr-OA-2004 OA:13au From-CITY OP ORONO +A512484616 T-035 P 003l003 F-T35 <br /> � <br /> , � Src.1S.0� RICHTS OF SUH.IEC7S OF DATw <br /> Subd,l. Trpe ot da[a. 1'h�rigbts ol indi.�ld�a1 on who�a the drta b swred or ro�swrcd�hstl�n�et fortb In tAis uctlos. <br /> Subd.L la[orrtutioa required to be gNon Sndlvidaal. Aa lndividaat asked tv wpply private o�wnfideatlal d�ta ooncersin6 Mimuit sbaU be <br /> Mier.oed ot: (�)�e parpose snd inceodcd u�e of the requeued dat�within�e oollecting sta�e agenry,poliqcAl su6divl�Mn,or�tato.ride fystcm;(b) <br /> ,.Letb�r 6e o�aY reWse o�!f IrraqY reqdred!a suppty t6e nquesccd dat�;(e)anY��"'p�wxqeonce orui�irom bb wpplying or retbsi■C co sapply <br /> priveu or conOdentiat data;stM(�tht W�odtY o����PenO°'or ead[ies ae[borls�d by stsu or fsde►a�law to neeive tDe dsta.Thb rcqufrsn�nt ttwll <br /> noS•PPb'wben sn iadlNdu■1 b�skcd w capply Invesdgscive dsu,pars�on[co�eaKfon 1�52,subd;rision 5,w a iaw entorcemeu�ofticer. <br /> Tbe eo ss�o�o[ cveant�aY whue tfia �tle� nnlntil�.ndcr LM sebdirl�bn In the la�vi usl IncoaiR t�i or Mm�em 11►t re(nnA <br /> �mt�uct�000 Maesd on th2�forn�c <br /> Subd.3. Acecaf to data Dy IncNvidnst. Upoa reque►t to a raspon�ibtr�utfioriry,no fndividoal sbdl be loformeA wh�thar he b the anbjeec of <br /> stpred data on IadlriJualf,and w1�etYer It Is das�ificd as pabllt,priv�is or contldeatioL Upen 1de fanher requesy.n iedivldn�l wYo is t6e aDbjcet of <br /> sore0 prirace or publle dius on i�dividusb ahaU be fl+own tbe daa without sar chargc a bim snd,lf fu ds�"ac�,siulf ba lnformed of t6e ooa�eo[and <br /> meaaing ot that dsta. Aiter a�indivklwl bsa been�bown�be prfrsto dsa aad irt•re�ed of its�namin�,t9e dati aed not be diubsed to�ia�for siY <br /> moa�As theratfrr unlods a dlspu�e or ac�ion pnnuant ta rLlf sectioo b prndte8 er rddhlon•1 dsts o.ehe Indivtdo�)ha�beeo cotkc[ed or eratM•Tha <br /> �Mpoa�ie autpuriry ehaU p.ovfde eopia ot tAe prlvde or pubite�cs upoa requat by the Individnal aubJea ottAedsn.The respons�le wtfiority moY <br /> tnqaff'e tbe reqatstleg poreou to pty tbe aetual eostt�msWAg,crrtlrylar,vad compit{ag tMe eopfes. <br /> Tbc responsibie suthorlty ecbdi cowplY lromedlately.iiposs�le,wfri sny nqucst made purs�aat to t6is�ubdivivno,or witlds flve d�seftbc <br /> dsle ot tho request,e�teludfng 5scurday�,Sundays and lega�helldayti tt Immcdtste camp�ance f.nat posyibk.Uhe c�nnot eomply with the roquat witf�in <br /> thst lime,he sksil io Intoral thc iodtvlduYl,aad may Aavn ao sdd'ulonsl nve day...itbin wwick co compty wkh�ho requesc,e:cluding S■mrdays,Sundayc <br /> aed legsl boilda7s. <br /> Spbd.4.Procedure w►ep dt�a ie aot�c�rate or Comp�Me.An indivldual may Nnctst the sccurncy or tempktenas ot puDllc or prHste data <br /> conarning htmselt.7o axerclso ehis rtghr,ao lndlvidosl aMeU notlfY�o wrUln�che respon�ibfe�mhoriry doscrlbing cAe naeure ot�ho di►agreemcuc Tao <br /> re.pow�Atc o�theriq sha11 wi[Aln 30 daya eitber: (a)correct 1he data found to Dt foiceurstt Dr lutotqplete�ad dstempt to eodfy p�tedpient�of <br /> (e�ccurpte or ioeompkte dst�,ioeludiag reclpirnls nsmed by tUc indl�ldual;or(b)notlty t6c indlvldnal t6a�he boticres t�e daa to be mrnee Dsea io <br /> dk�►pte shall ba diatlosu!o»ly K the Ind�ridu�l's strtemew�ot dlsa�rcemenc is IneludM..iM thn daebud dsta. <br /> 'The detere111nstion of tha refponsibk olltdorhy may be aPpe�kd Pursuant to thc provl�ions o[tLe sdmioistl'�tl�o protedure ui rtlating to <br /> coatestcd cases. <br /> DATA PRIVACY ADVISORY <br /> In accord�nce with MS.13.04,Subd.Z,"Righis of subjects of dats",we would like to inforra you that your request <br /> for s permit or license from t6e City of Oronu or aay oC its depArtments may r¢quire yoo w furnish certaia prirate or <br /> confidentiAl information. <br /> Yau are notified that: <br /> 1. The intormation you furnish wi11 be used to determine yoar quslification for the permit or license requested. <br /> 2. You may reiuse to supply data,but refusa!msy require that the City deny the permit or llcense. <br /> 3. The information may be shared with other tocal,state or tederal agencies to t6e ertent necessary to process <br /> che permit or license. <br /> 4. It yonr requested permjc or license requires Council 9ction to approve,some in[ormation mAy become <br /> public. <br /> 5, Yoa b�vc certain rights under M.S.13.04(avsdlable upon request)to review private data on yourself. <br /> 6. Your t�ull namc is reqnired to prncess this application or permit. <br /> �� �. <br /> Fln� Mlddl � <br /> r � <br /> .� 1 <br /> Addreu <br /> ' � � r'Y'"1 j'1 �'� 1�7 c' : - Z_'C. .. ��c�l <br /> _ � ; � <br /> Citr Sute Zlp Phoqe <br /> \ <br /> I onderst�nd my rights ss stated sbove. <br /> � � ��/�-Z�, L:�..- ��,� ;C� <br /> slcaac <br /> c <br />