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; . iTY OF ORONO � 612473Q510 09/24/9b 1�:00 � :q3/03� N�;5�2 <br /> Stc.13.04 ItiG1fiTS OF SUBJ�C'CS OF DAT� <br /> Subd. 1_ Type n(data. 'fAe d8hts of iadlvidud ou Whom�he data Is sroced or io be scocn!ahall be as sat fonh in thls uerfan. <br /> Subd,l. Ialo�atlam reqtdr�d to ba giren iadtoiduai. M lndIvidud asked to aupply privix or oanndea�ciiel daa�anae,�ning h[mself,ahall <br /> be fniortued of; (e)tlte purpoce and inmadod uu ot dfe requcsud daq withlu thc wllecdnQ ltaet agenoy,politicxl subdlYisian,or stsrowide ryctem: <br /> (b}whesher M may rnflise oT ir legally requircd m supply the f�equ�ssed daa:(c)�rry known conseqnenee ari�ing fram hls cupplying or retliaing to supplv <br /> privs�a cc conMendal d��a;and(d)�he idenriey o!odiu persom or enddes authocixed by su�oc federal!Aw m receive d�a da�a. Tht�requlrcmenc shull <br /> flo[�pply when an individual 1�Asked to snpplY��e�rigadve daa,pursuant co credon 13.82, subdivision S,to�I�w enforcemenc ofPEcer. <br /> ,., <br /> osnm�i s{gner QP_�vernie ma� piace rfte nodce repuirad under�his su6di�isic�n iA �he indtvfdu�l income tax or orooem u,�,mlS;nd <br /> ----` �lan�in�ma�t uEon�io�o�orm�. „ <br /> Subd.3. A�ceu to data by indtvidaal� Upon rcqueu to� respnnsible sutlroriry,in ladi�idua!shall be informed whosh�r ha u the subjeec <br /> af�wred dau on iadividuals,and wh��har ic is clus[fied a�pubti�,P�ivue or conMenrial. t)pon lus ftuther rcqueac,an individu�!who is che subject <br /> of uoTod pri�ace ar publlc dau nn 1ndlviduds sFuil be shoWn�!►e dua wi�ouc ury char�o cp him end;if he dec(res,ihsl!be inforo�ed of�he contenc <br /> md mbaning of that.dani. After an iadividus!hu been shown�he priv�te dirA ind[nCom�d of ira mesning.the dru need aotbe diubsed to pIm far <br /> d:mondu tkeraafter ueleu�dispu�e or accion punuan�m�his seedan is pendinQ or addirional dara on the individud has been oolixced qr aearui. <br /> fia mpoasible wtt��ry clull provide copies�f du prirue or public dan upoa r�qvesc by�ka individua!a,bJee�of dm dua. Thrre:pnns�ble tutbo�icy . <br /> a+sy require du mquettin�pmrsan ro pry dia aGaal coscs�f mafclns.uttifyin`.and eompf8ag rhe eopH�, <br /> 'Ibe rsspouibte wthoriry.�hatl compiy immadfataly, if possib[e,widt aap reques�medo pursuam w�hu rubdlvision, or withln five day:of <br /> d�e date af ehe roquee�.eaccluding Suutd�ys.Sundays and legd hollday�,fF irmnedlaca comptlsna i�not po9sible. If1�e catmo�compiy wid�rho roques� • <br /> within[ht�clmo,ho ahall w inform rtw ladividual,and may ha�e�n.ddiriopal Elve d�ys wid�in whtch ce compty wtth�!u requeat,axcludfag Saasrd¢ys, <br /> Swncl�yi�po le�pl holldtye. <br /> Subd.4. Proeediue wh�ti dnta�s not aceurata or eamplase. An indlvi�ival rtuy conms��he acceirsay or compluenos�of puMic or privam <br /> daa aoneornin,t 6imselP. 7o exercise rhis right,an indi4iduet shall aoaly in wridng du re�wnsibk surho�{ry deusibl��d,e naeuro of�ho dtaegceemnni. . <br /> The te�ea�ible�u�horiry d�alt wi�hin 30 days euher. (i)cotnc�die dam found�p he inaccunte or incomptea�nd aaocnpt ta nodfy pue reeiplena oE <br /> frt�ecucate or in,camplete dpn,includin�recipfenu nartud by�e individual;or(b)aopPy the individual thsc ho belleves the data to be ootree� Dat� <br /> ia d�Cpu�e altail be ditcicaad anly if tha uuilvidual's adiement of dlsaqteemenc is Incladed with tha discloud dara. - <br /> '�he doterminaNen oF ehe rcspansib�o xuihoriry m�y bo appealed pursuw�to du provisionc o(rhe adminuendve praeedu►e act relacinQ m <br /> concestnd caaes. <br /> ' AATA P��YBC���ORY � <br /> In accordance with M.S. 13.04,Subd.2, "Ftighcs of au6jects of data", we woutd like to inform you that your requesc <br /> for a permit or ltcenso from the City of Orono or any of its departmeri.ts may icquire you to furnish certain priva�e or <br /> confidential iaformation. <br /> You are nat[fied that: . � <br /> 1. The informacion yov furnish wili be used to decermine your qualificacion for the pernaic or iicense requosted. <br /> 2. You may refisse to aupply daza, bur re[usal may require thac che City deny the pbtmlt or lice�ise. <br /> � . 3. The informatinn may be shared with othCr laeal, s[au or federal agencies to the extent neccssary to process <br /> the permic or lkense, <br /> • 4. . If your requested pecmit nr ltoense tequirec Council aetion co approve, come infamiation inay hecome <br /> ' pubiic. . <br /> S. You have certaln righ�s under M.S. 13.04 (available upon request) to review private data on youraclf. . <br /> 6. Ynur fult c�ame is requirod to process tbls applfcation or permic. <br /> . ( � <br /> ��' � O dle .� � <br /> a � � . , 'v`nr� S��faO �lSa-�`�s=(��- <br /> CJcy - • Sa�a Zip Phone <br /> ' I•understand rights a� staced ove. <br /> Bignomro <br />