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JUL 10 2003 11 : 01 SMITH, DOUGLRS & ROHRN 952-472-5671 p. 2 <br /> JuI-ID-2008 0o:64am Fro�-CITY OF ORONO +0522111616 T-TOp P.002/OOZ F-964 <br /> Ste.L3.W�TGHTS OF 5USJECT3 OF'DATA <br /> Sybd, l. Type ef dua. 2�e ri�bu a(indlvlduu oa�bom tbs 4on is uored or a be s�ond�b�ll be rs set toN�io ttiis�, <br /> su6d.3. I�oe�musea requlr�eA te S��i•aa iadhrWual. �n mdividuv�ked oo supplY p�vare or�onlldenm!d�d 0000ainLa�t�im�clf sbaU <br /> be i�ermed of: (�ebe puryou�od luoead�d us�of�he rcquetttd dtn wirbia�ba callaeen�!nu y�oey,polide�l�abdlvMoe.or iatewid�s�d►; <br /> (b)whc�a he mar RNae or ia lesaqy re4xind co supply�he eequeeud dxs:to)�ny 1a�ovro coosequeoer��(�lromhie supply(oa or r�l�sinj a�PP�r <br /> p,iva�e or eonl�dead�J daa:and(��a ident�ry af erher pe�sons oc rnrides w�onteQ by suta a�todeRl l►w m roceire Iha 4�u. Tt�is n�qutre�aa sb�ll <br /> noc�PPIy wrtsn�n indWlau�1 I:�sCed ro n+pply Ime:dssd�e din,perwaac oo seacon L�,SZ,sv6divi�ion S.w a Uw antoRe��pt of�icor, <br /> 'Th��•ienrr ef reVtnu� m�v ol�ee the nadae rctlui�ed under d1i!lubdivisie��^ �•������•� ����*� n: er oreeaetv mtt celhb <br /> JJ[InLL���O��n Y1���I��s� <br /> sr�aa,a. �ce.s,w a��a hr�d�l� lJpoa ttque�t to�rs�pot�s�ble autberiq►.�n iadividwl:bW be informed wbed�er hn b�be�uEjeec <br /> o!tnnd dan on individ��is.�ad whc�het fi Is clessi5ed�e publie,privue oreo�drndel. Vpoa his fuN�e�nques�,Ra iodividu�l�rlw 6 dK subjee� <br /> et senRd pAvaae o�pubtic daa on Indi�Mu.ls�h�ll�atawn�he a�a Wkhous a+�y nharge w hGn ond:if tu ds�;res.�baU bs inlbm�ed o!�e waune <br /> ��d meuw�;o!fiu dva. Ahcr an individw�6�ban shown�bs privtx dara and info�med ef im ou�olag.d�a d�u.�eed aoc be dlselwed w hua for <br /> �ix enomht�►etrahe�vNc�z s dispute or aeden punqanc ro thi��ceqpn ii penEin�or�ddldonal dan on dfe IadiviQu�l h�t been coUtet�d oe etea�ed. <br /> The�spoa�ible surbod�stall provfde wpier ot dx p�wca or publla d■�a upon rnqueic by fia fodividwl wbjeei o(d+e din. 'Phe respoasible tud�odry <br /> rtKy[mquit�rbe raqvasdng pe�sen to piy ihe�ewl�tt of�1�ie6.ee�oNin��uid�wmpUtng�be aepia�. <br /> 71e I�etpamlble�utlwclry sh�ll etmply�adiately,if poxsible,+���s�►Y Rques eade pur�wu►�ro d►is luEd'ivi�ion,or wid�in 6ve diys of <br /> �dfin tA�dme,�shaU o INoem�he IndriYlOw1,�nd�Aar�in�ddldonal llva d■Ys w��io wbkh oo��oa�lY wi��oesc,cxclvdinr SamrdeYsc <br /> Sund�y!oM legsl hvlWa7s. <br /> Subd.4. Peoeed�ae when dats 4 nnt aceu�at�er eampl�t�. M indi�idud m�y eoneen�he acorueY or eompleanc»of p�blfe o�prira�e <br /> d�s coaoanini hi�oself. To nxs�se rhis ri�ht,an iedividual sh�ll nariry fn wrldn9 fic rvryon;ibta wrhoriry de:uibiea d�e naote ef�a di+�yraaienG <br /> ?ke cesPoasible Wdtoriry shdl wuhln 30 day�el�t►ar. (e)cocrect�he daa toued eo be ia�eeuean or incempleaa�nd�aemp�W aodfy p�se Keipiants ol <br /> ituecuqro or incomplcoa d�n,ineludia{nefpiene n7mrd hY�he iodlvldwl;or(6)notify��d�vidu�!d�et A�MBevea�he dua to b�eorRCG D�u <br /> in dlspua shall be diuloae�oiyy it�ho ina�ridw�'i amemanc of dis�gRm+en�i�included w1�h tbe aisatosed 4�u. <br /> The decertnL�erien ui die ttsponslbk w�horiry niay be Wpe�lcd pursowc oo d,e proviaions ot du adminiam►av�proe�dute I1a Rl�ds�ro <br /> eonwaxd easel. . ' <br /> na�'a PRYV�CY ADVISORY <br /> Ia�eeo�danee wlth M,S. 13.Q4,Subd.2, "Righcs of subjee�s of daca", we would Iik,e to infoRa you tha[yeur requesc <br /> , for a permit or lieau�e from tbc Ciry oF Ocon4 or any of ics deparmaencs rnay require you co furni��.cercaia pr[�nce or <br /> coafcdenci�l infornu�lon. <br /> Yeu are apcified �u: <br /> �, The inforn�o�ioe you fumish wilt be used to detern�i.aa youKqu�lifjcad�for tbe pec�it orlieenu:equas�ed. <br /> z. You m�y �efuse to svpply d�tu, but niu��l may require� [bt Ciry dmy the pecmie or lican�e. <br /> 3, 'r'6e intbrnuttion casy be shared with ocber local, stace or fedaal ageneies co r]�e exu4t aecessacy co pcoc�ss <br /> �he pernilc or lic�ease. <br /> 4. if your ���sce� permit or liceose reqnires Couneil acdon to approve, some tntorm�tloo may become <br /> public. <br /> g, You h�ve oerrsin ei�hrs uader M.S. 13.04 (avAflable upoa ceques[) ro reviaw prtvate data on yourself. <br /> 6, Your full nar�e �s required co process chis �ppl"uatioo o�pe�mi�. <br /> Pit�� ( 1dd! Lti� <br /> Y(�O <br /> Addnss�� ///�) �c�6 T ��z'��Z^ �3�� <br /> �� Su�e Z�p Phone . <br /> I uade�s�aod y ' ars s! d ve � , <br /> sijnature • <br />