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CITY OF ORONO � 61LZ4y4616 U(/"I>/yy 14:7U � :Ub/lU NU:bUS <br /> � a�c.��.oa�a��rs o�su�.r�c�rs o�nn�rA <br /> Subd. l. 'I'ype at dvta. The riyhts of Individual up whom dte dota ia ttor'ed or to be Stored rhell be es set forth tn Ihis sectlon. <br /> Subd,2. lnfcmuadla�a rer�uircd to De�ven Indlvld�l. A++IndivlQi�t1 p,pkcd w eupply prl���or oonfidcndal daw oonc,�rniny himsdf <br /> ehqU p�e Inlurrriad of: (w)cho putpc�ea Rtttt in�ended uee uf tt+c requeated d�ta wi�in die e�llbccing s�atc agrn�y, ��litiaql oubdivislon,or stecewlde <br /> ty�roqr(b).whb�hcr ye m4y rofU,�e.ar l�ley�lly raquirc�►n�upply liae rcqueaAmd elAtu;(e)pny known coruicquern:c erisiny from his supplying or <br /> retUting w su[iply pr��Abs or cuMdenda!data;sncl(d)tt�Identlty ot odur peceone or entidu autlwrizccl hy starc or fedcral lew to roceive the data. <br /> Thl� requlrement ohxil twt�pply wltett An lndlvlduai la daked to�Upply In�txtl�udvt d9ta, pursuanl ta 9action 13.82, subdiviaion 5, to � lew <br /> antorvemsnt officer. <br /> '�e 54eu�ds aner d reven��v nl�nccC�ya11Ql1�,yYIIi11[Et�iI11f�G[J�LiIl�LC191Qe in thc iiulividual j,�cplpe tnx or nrapertv�iz mfund <br /> in�jp�l�i'n . nv., ,jlf QR RhR�10 b R• <br /> 3uhd.3, Aaee�to data b�tndlvidual. Upc�n royueit to i responalbie�whorlcy,an in(1ivlQuei 6hRll be lrlPOrmed urh�dlor h�t IA thc <br /> abJec�af�toraA daµon Irdi�iCuats,oM whefher it la clnsal�9ed ae pi�llc,pdve[e o1'confiAenduL Ujvn his rttrther rCyutst, pn individual wh<i <br /> UI the aubJaot of atQl'od pdy�te ot public da�on i�ividwls aAatl be el�own tha dn�wJd�out uty elwrga to him and, I(he daslres,slu,ll he infurrno� <br /> qf pfe conteril nqd me�nittg of thAt d�ta. ARer�n individu4l has bCen�hown the private d�ta and i��Porinod o(ita meening,tl�e dat�natcl nut k,e <br /> dlscln4ed pD Mm(oE tU�m4Nhs therotfFar utilmas q dlepute or ocdon pur�t m dus seccion i8 peniing or addidotwf data on the tpdividuul hes be�n <br /> colleceod bicreeted. 'Ru ro�ponqlbla�udwria stutl pmvide cqpies of 1fie privpt4 or puAlic de�upun requcst by the��divldual subJcct nf the du�. <br /> Thp re�pon�lbin autlwrlry may roqulro tho roqueating ptraon to pay the�otus!com�a o(mAkina,conlfying, and eamnllina�he copiea. <br /> 'the�n�pnn�ible�uthorfry iFull�mp1y i�mnoclie�ly,iF 4yca¢clFale,wi�h arqr roquasc made purs�iun�iU thia aubiiivisiou, or wlthin five days <br /> of du d�te of tho t'oqVeet,o�ludl[►O S�mrclays,Sundayr¢nd legil holid►Y�,If immediAte campllattce Is�wt poasible. I[he cenrw6 Comply with <br /> the roqUGtt wlthln that tlrt+G.M eh�U so Ilifprm the i�ivlduxl,end rt�y have an eddltiotwl flve days wllltlu whlch to cottlply wlth th� rtyuest, <br /> excluding.S�duQAyw� 9W11A/,y!Alld 1GQa1 hOIId0y8. <br /> $ubd,4. Preoadun wFi�a dy��V nd oceurate or aomplde. An�ndividual may contee�the rccuracy or compleeene9s of public or <br /> pr(w�d�ta cancerdng httnaelF, To exarolae this rl�he. �n{c�dividual ehall notity in wrlling the responaible auchori4Y describ[ng the nature of thc <br /> dl�roemotx. 7�w rs�ponalEk wtlwr�q��IuU withih 3Q daya eitber. (�cortect the daa fourd to he Inaccurxta or incaYnpleta and�ttempt oo notlfy <br /> poR roeipiancs of inrccurtiie or ineemplete daa�.liulucling racipio�w n��ad hy tha itxli�illutl:a�(b)noti�y the indiviAunl tha�be t+oliavo�tAo daW <br /> op bs pott�eG Uwp in di�puh 1hA11 be Cl�clO�td only if the iqtilvMUa1'e eprte�ent of dlaugraeman� i9 iru:Iwie�with the dtHcloac4l dnrn. <br /> Tha deppt�lned4n o!'the tYspdncible�uthoriry moy be�ppe�led pitrsuenl w the provlsiuiu of the admLilstr�tive procedure ict relating <br /> to con6nare4 casea. <br /> hA'�_PBLVACY AD'�I50YtY <br /> In�cc�tdatice with M.S. 13.Q4, Su�d. 2, "Righta of eubjects of datv", we would likc to inform you d►a[your <br /> �requast for a�ermit or lieatlse ft'om.the �ity of Orono or any of its departmcnts mAy rcquire y�u to furnlsh certain <br /> prlvate or coe�idential lnformation. <br /> You are nqtiYied that: � <br /> �, The 9nformstion you furnlsh wi(1 be uecd c� dC�armiAe your yuali�icQtinn for the permit ur licer�se <br /> roguoucd. <br /> 2, You cnay rePuse to supply data, but rePusal may requirc that the City c�cny the permit ar 1lcensc, <br /> 3. The jnfocmation�nay be ehaced with other local, state or federal agencies �o the extent necessary ro <br /> prxeas � pectt�lt ar licensc, <br /> 4. If your roquestad permit or Iicende rec�uireo Couneil action ta approve, some inforrnation may become <br /> publtc. <br /> 5. Yot�have ecr�ain ri��s undcr M.S. 13.04 iAvai]ablt upon requcaq co rcv9�w pri�atc data on yoursclf. <br /> 6. Your full namc 9a roquircd to procesa thie npplication er permit, <br /> l�f,�� Ul�t.�.A�t-- �.�,�ZJ.��LI�---- — <br /> Flra�tr�-- Mlddto la�t <br /> s ^�-_.�^ �� - <br /> �aar��. <br /> .�,y►�`.�1� 1/�A�l.� t��1�. q� '��7-��.�� <br /> Ciry Sctro Zip Phone <br /> 1 undcratand-r� rigttcs ae etated above. <br /> � ���� <br /> �`�� ; ..,� �, � <br /> ;� <br /> � 6 <br />