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<br /> $�c.13.04 ttIGNTB OF�UBJRC78 OF DA'i'A
<br /> 8ubd, 1. T�cC dab. 2he rlybls of lndlv�url oA Whom dte Aie�U-�cored oe m be=�ted�dall bs ae set br�In�!s secdan.
<br /> Subd.�. Worm�tlae eiqtd��d io be R(we Iodlvtdu�i. M I�iWduol atked m apply priv�te or oon�ideep�l dota tonasrnlnB Altn6elPaball
<br /> be InfoRnod oA (�d�e purpose and Inunded ute of dte�equasu�doai wid►iu du coli�nslns lTam 0genay,palldcal aubdlvisian,or�ntewida sy�tem:
<br /> (bI Wh�ther he ms,y s4lhte oT it le�vly t'�qYIRd w auPP�Y Ihe raquene+!dou;!cl�rry knou►n consequaaoe acf�ing fmm hls sUpplylna or mlliaing ro suPP�Y
<br /> pdv�m or ooMdondol dwc�;snd(d)J�a Idendry of od�er peis�on�ar enddea aud�ariud by use or hde�al I�u►m roeelve�e da►�. 1'h!t roqul�smoae ahall
<br /> noc�pply wAen an lndiriduall�nskcd ao mpply ln�eio��dre daa,purivant w��cdcn'13.61,Nbd�Yision S.[o�I=w enfonemen�0lPioar.
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<br /> '�,q��m�l�nac Q(mvenue t� v olacs�he Mdcc �mt�ad under thi��ub Ivls n�in �he indlvldual incQme �t„Qr orodercv raR�
<br /> ... ., ttuct�p�i4�4�YLn�JlB.�a['ml� , � - ' , „ ;
<br /> SuDd� 3, AcceN�o data by individual. Upon roques�ro a rospneuiDle autlu�rih.an lndi•Wual iftill be i�fo�med wheth�r he le d�a aubJeot
<br /> ot�tared d�n on indlvldutlr.and whed►or i�is elafalfled�i publ�C.p�ivue or conPldenual. Upon 6i�Ntd►er tequea�,�n lndiv(duAl aha��the wbj�[ '
<br /> o��rod pJiarc a�pubilo da�e on Indlv4Auel��lutl b�ehown d+e•dau wl�ou�en�aMr`e w hlm ond;V hc deslt�a,eh�ll 6e infetmed oi tl�e eonronc
<br /> ond nie�nln�o!d�at daa. Ah�r on Iadi�iduv ha9 be:s ihown th�p�ireu dirr rnd�om�u!oI t�oneanlr+t,tlu dao naad tu►t 6�dieelneed W.hlm Par
<br /> dx a�ond►s thero�l4a�unleN a dicpu[a or�otioe pursuarn oo�h1s iecdon is pendina o�addidonel�an�he lndlvlduvl bqi 6een oollec�ed qr crm�d.
<br /> 7Ue r�spuAeihb�u�hpdq�ball pro�ide copia of dte prir�oe ot pvbllc dara uPnn requen Er�he indlvldngl�ubjece of die AQca. The ritpr+nslble au�horly
<br /> m�y eequi�o r1►o raQue�dng porenn ro pry�he aeaal eos�s�P nwklns.nroiyino.�nd a►n�llln�dse copi��.
<br /> The rorponsihle wtho�iq�.rhell cqmply immedl4celY,U poesible.�f�h�y nquae�mad��ursuant u��Is su�li�ision,or wlthln fl�e dtyr af
<br /> ��dotn of the tayuau.excludln�8ia�i.Sundoy�ond Icg�J.holWays,If lmm�dlom oomplhnee i�not po9sihlo. 11�Ae camnv�su�nply wkh d�o nqws� .
<br /> vwlddn dut dme,he ebel{w lNbrm rha ladividual,and m�y hsve tn addl�ion�l five d�yd Wld�b�Whlch w comply Wlth►hs reqltmat,��eludlag�aatrdays,
<br /> 9undtys�nd le�d hotld�yt.
<br /> �ubd.4� ptoO�AU��t�h�t11 dsls it not AC�UrOta or�au1p�N0. An indlv�,l�al m�y oonien tAe�ccut�ray or eompleroboas oPpubll�ol'prir�ce
<br /> d�a¢onaern�ns him�elG '(b exercise��t tf�ht..n indi4lAuel ihall no6ly In we1Mo ehc reaponst�le wdwd9+desc�'bin�ihe ee�ro oP d�o Aue�nem�nc. .
<br /> � Tbe 1e�p�nrlble�uUlo�iqr dldl withln 30 daya ehher. (�)eo�reet ifie dRm found a b.inaautoue or incumplerc end aaampt no nocdfy p�u r�slplente af•
<br /> i�meeuMre or ineoropl�te dpn, Ineludln�{n�iplentr mmed by the indiv�dual:or(b)nool�r tho indivfdual diet hs belleves the dow co be¢o►�t. Da�a
<br /> in dl�pu�t ih�ll be disctotad on�y!f ths Ind(vidual'�eu�art�n�of diwpraeman�f�Includad with U�e dlscloted dda�. �
<br /> '�lu dearmina�lon nf�he rn�yoasihlo au�oriry mq bo appealed pu�au�n�eo tlu p�oylsiono o��he adm�nisuadva proealure aee�eladn�m
<br /> wiue�ted eare�, � .
<br /> ' pATA PEtiVACY ADy,�ORY � �
<br /> . ln�caordeac� with M.S. 13.Oa� Subd.2, 'Righa of AubJects of da[a”, we would like co infarm yuu that yourrequeac
<br /> �Por a pormi� or ticanae trom tha Clry vF Orono or any o!'i�s depanmen�a may requlro yu�co Purn�sh cenaln privat� or
<br /> confidcntiel Information. -
<br /> 'f�ou uo n�otiffed lhet, � � �
<br /> I. • Tha 1pPotmatian yau eurn�sh w�ll be uged to determit►a your qualificatlon for�he Per�onic or ltceaae requc,��eQ.
<br /> ' 2. You may rofuso co eupply d�sa� but teL'u�s�1 niay requlce that the City deqy the permlt or ltco��te,
<br /> . 3. Tha informacion na�y be shered with otber local� atate or ftdeYal agcuciea to the exren��nec�seory to pmcaas
<br /> . tho Qerm��or lkxese, .
<br /> � 4. , rf yout requesced permi[ or fl'ce�se requirns Counc� eet�on [o appro�e� some infaRnaclon tr��y► beeomo , �
<br /> ' pubik_
<br /> �.. You hsve cenain rights under M.S. 13,04 (ava�lable upoo requcst) to reviow private data en your�elf, ,
<br /> d, Your iruil name is requarad co pmcess this appl(cation or pBcmic.
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<br /> � � l/l ' d OZ6Z ' �N n�3S 1fW�3d �N1011 �8 S3N0�-�3013 WdLZ � £ 100Z ' Z ' ��0
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