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07/2512007 66:28 7634344933 HARMONV HOMES INC PAGE 02 <br /> ;• <br /> Set.]3.Od RiCHT5 OT SUB.TEC'IS OR DATA <br /> Subd l. 7'ype oT dats. Thc righC�01'individunl on whor+t tho datn ia stored o�tn hc ntorecl shnll bc an eet forth in thia section, <br /> Subc1,2. Information required to bc givcn indi�idual.An individutll nskedta aupply privofe oi'confidentinl d�t�cpnecming himSr,lfahall bc <br /> infortncd of; (n)�he�urponc nnd intend�d uqe ofthc rcque<fecl data within the collecting ctate ngency,poli�ical au6division,nr vtatcwidc ayStem;(h) <br /> whctherhe mny refuse or ip Icgally requircA to 9upplythe rcquesi'ed d�ta;(c)nny known conacqucnce nrising fi•nm his supplying nr rcfuaing to Supp�y <br /> priva[e or contidontinl d:+tn;and(d)the idanriry of othcr peraons or ent(tie.a nuthorizcd by stnee or fcdcrn!Inw to receivc thc datu, This rcquircmcntshiil) <br /> nok np�+ly when nn individu�l is aakod to supply inveatipativc dntn,�ursulnt tn pcetion 13,82,cubciiviEion 5,I'o a Isw cnforcemett4 of�iccr. <br /> The commieEio.nc,LQl.Gvenuc mav_olnFa IkIS noticc rcquhred a�cler ehis subdiviAion..ir,�,She individuaLin�ome tax nr urovectLtax reflmd <br /> inatNC�L�0,�7s insread of on thaacf,Qimg, <br /> Svbd.3. Access tp clats by individunl, Upon requca�to a reaponsible avthoriry,nn indiviclURl ahall be infotmed whcther he iF the subJect of <br /> sfored data on individunls,arG1 whathcr it ia classif ed ns(.+uhl ic,privatc or corrfiJentisl. Upon his fuRhe�requc9t,an individU�l who ia thc nubject pf <br /> srorod p�lvate or�ublie dntn on intHvidualA shall be shown Che data v�ithout nny charge to l�im and,if hc desiro¢,qhall be informcd ot'the conxnc nnd <br /> menning uPthac duta. Aftcr an individusl hac bccn ehown thc p�ivine daw and inforrrled of itc mcaning,the dnf�neeA not bc disclosed co him for six <br /> months therealler untcaa s divpute�r atCion purguant to thia acclion i8 pending or additional dntt pn thc individual hns been collcctod or crontetL. Thc <br /> rocponeiblc euthoriry shnll providc copice of the p�ivxte m•public d�1tn upon�equect hy thc individuol cub,l�ct af thc dattt. The responaible nuthoriry <br /> ntoy requirc tho raquesting pe�son to pay thc actunl custs of making,ccrti£ying,ime�epmriling the copies, <br /> Thc rcaponaiblc nuthori�y Sh�ll comply immedi�l'ely,if p�asaiblc,wi�h nny requesc madc purnunnt to ehis suUdivinion,or within fve dsyn ot' <br /> LIIC dAIC Of��hC Ra11@C[�CXC�UdI[I�SflRlf(��rys.S�indaya and lcsul holidhys,i1'immcdiatc complinnce is notpoA9iblo, If he ennnpt comply with the roquect <br /> within thnt time,be chall co infonn thc individunl,nnd may linve nn nddit.lonal fivc daya withinwhich ro cnmPly with the cequeg�cxcluding Snturdays, <br /> Sundaya nnd Icgnl hnlidnys. <br /> Subd.4. ProceJurc when deta iA not acairnc�e oc complccc. An individunl mny canuAt d�c accurnry orcpmplctenesa of public or p�ivazc data <br /> concerninghimaclf.Toexercisechlsrigh[,anindividufllshallno�:Ityinwridngdiaresponsiblcnuth�rirydcacribingthenawrcoftlicdisngeemenG The <br /> rcspoosible nuthority aht�ll within 30 clayc cithcr: (A)corrcct fhe d��foand to bc inaccttrote or incompktc and ntfempt to nntify paet recipienfs of <br /> innccurnte orincomplete dpta,inobading recipian�a named by the indfv{�Lual;or(U)notify the individunl that he believea tho dntn tn be correce Dotn in <br /> diapu[c ehflll be disdoceA c+nly if thc individual'S S�1�mcnt of dieo�reement.is includcd with thc dis�losed data, <br /> Thc determinntion ofthc rceponeible authoriry may bc appcalcd pursunnt ro t.he proviAionA of tho fldminigtrAtivc proccdure a�t rel�tinp to <br /> contcstcd caace. <br /> DATA.PRIVACY A,AV�SORY <br /> in accordancc with M,S. l 3.�4,Subd.2,"Rights of subjects of data",we would.lilce to inform you thAt your request <br /> fpr a pennit or liccnse from the City of Orono or Any of its departments may rcquire you to fumish certain private or <br /> confidential information. <br /> You atc z�oti.fied that: <br /> 1. The infonna.tion you fumieh will be used to detennin� yoUr qualification for thc pem7it or license <br /> requested. <br /> 2, You may refi�sc Co supply datA.,but reflisal may require thaC Che Ciry deny the parmit or liccns�. <br /> 3. The infam►ation ma.y be shflred with u�ther local, state or 'fed�ro.l s�gencies to the extent neecssary to <br /> process thc permit or license. <br /> 4. if your requc;sted permic ox license req�_iires Council action to flpprove,some information may becoax�a <br /> publia <br /> 5. You havc ccrcatn rights under M_S. 13:D4(av�ilable upon rcquest)to review private daCa on y�ourself. <br /> C. Your fidl name is required tp process this application or permiC. <br /> �/Lf� / �Trk.c.� �`%v'�!'�'�� <br /> Flret �/ Middlc Laat <br /> '�5'S U������vi��/E <br /> Address <br /> ���r�4. /Z�iv 5��9z 7G3-�/i3-��va <br /> C(ty Statc Zip Ph�ne <br /> i undcrstnnd my ri�hts as state ebove. <br /> � � �. <br /> Si�naturc ��� <br /> �„�+* t x; , <br /> .,��In� I�IVi I^; .{ S p„�,� .'i n�i { ," �„ <br /> '�R��t������������� �'�d�'�t,�'t�t'nr�;,���� �� wW�at�ia� 32 <br /> ���Jif;��,I <br /> �.,�� , , , , �d�l�h, . ,v}��i+ v..2',9 �:��, <br />