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Jul 25 07 02: 29p Trebil Foundation Inc 3209748896 p. 2 <br /> � � <br /> Sec.13.04 RIGHTS OF SUBJECI'S OF DATA <br /> 5ubd.l. Type of data The rig6b of individunl on whom the deta is scored or t�be sta�ad ahdl bo as 9et forth in tdia soaiw►. <br /> Subd.2.l�'om+ntionrayiradtobogiveniodividual.AnindividualaskedboaupplYprivaLeorcontid�tialdateconcanu�ghim�alfsLollbe <br /> mf'orrtud of (a)the purpote and intended use of the requested data within the coUecdng staoe agauy,polidcal subdivision,or sntewide system;@) <br /> whaThw 6e may refux or i�kB��Y���PP�Y d�c rcquosu:d deta;:(a)anY known conaequawc ariaing from dis aupplyiog or retLsiag to supply <br /> priw�oroonfida�tialdeta;sad(d)lheideMityofotl�erpasonsorentitiesavtdoci�odbystateorfade�allawtocecoivediedala.Thisroquirementshall <br /> not apply whea an individusl is esked to aupply invcxitigative data,Pwsumt to section 13.82,aubdivieion 5,w a law enforxment officer. <br /> 'R�a cornmissioner of revm►ue mav pJ�gj�iaticc reouued undu lhis auhdivision in the individuel income�m_�cQpertv tax nefiud <br /> Subd.3.Accesa w data by iodividual. Upon rcquest Lo a raponsible authority,an individuel shall be informad wbather he isthe subjeccof <br /> sW�cd dwa on individuals,m�d w6eth�r it is classifiod as public,pdvate a cootidwitial. Upon 6is fwthar roquast,an iudividval who is the subjoct of <br /> stoced private or public data on individuals shall be ahowo t4e data without a�ry charge to him and,if tit desires,shall be infortned of the content and <br /> meaniog of diat deta. ARor an individunl has been shown tltc private da�o and inforo�od of its mearing,thc deta mod aa be diacloxd m him for six <br /> monthc thereattra unless a dis�te or action pwsuant to this sedion is pending or additaaal dsta on the individnal hac bceo coilected or c�.The <br /> respa�sible authority shaL pmvide copies of the priveto or puWic data upon request by rhe individual subject of the deta T}x respoasible autha�ity <br /> may requirc the requestiag pecson m pay tbe ac.4ual cmts of inekmg,certifyieg,arud compi{ing the copiea. <br /> 71ia r�sponsiblo autlw�Th'��mP1Y��Y,�fPaasible,with a�ry request�de pursuantw this subdivision,or within frve days of <br /> chedate of the ra�uest,excludinB SadudaYs.Suodays and legd holidsys,ifimmadiahe wmpliance is notpossible. {fhe cannot comply wilh the request <br /> witfiin that time.ho shalt so infam We imdividual,end may have�additionel five days wiihin w)�ich to comply with d►e raqw�t,oxrduding Saturdaps. <br /> Sundays ead leg,el holidays. <br /> Subd.4.Procedurow6endetaisnatnccws�eorcomplete.Anindividualm*ycon0eattueaccurpcyorcoo�aesofpublicorpriwtedqta <br /> concerning himself.To acercisc this rlght,an individual shali notify in writing the responsiblc authority dcscxibingtho nature of tt�di�gtreroent.The <br /> iesponsibk authority ahell wtt6in 30 dsys either. (a)cotrea dte data found to be inaccuiate or i�omplato and u�emptto nodCy pest recipie�es of <br /> �ccu�oe or mcomp�ae a�.�ca,m�rec�ptenu namea by we�vsau�;or(b)nodry d�e indivklual d�o[he belkvo dx daraw be oortecc Data in <br /> dispute ahall be discloced only if the iodividual's sla�ement of disagteement is included with the diacloeed data <br /> 'Itie deoennicretion of the responsible auchorhy may be appaaled pucausnt to the provisfon9 ofthe adminisuativa p�+ooe�ure ac[ttlacing w <br /> conoesoed cages, <br /> DATA PRIVACV ADVISORY <br /> In aceo�dance with M.S.13.04,Sobd.2,"Rights of sabjects of data",wo would like to inform you that your requast <br /> for a pertnit or license from the City of Orono or any of its departments may requirc you to furnish certain privatc or <br /> confidentlal information. <br /> You are notified that: <br /> I, The information you fu�nish will be used to deteRnine your qualification for the pe�nit or lioense <br /> Tequested <br /> Z. You may refuse to supplY data,but refiisal may require that the Gty deay the permit or license. <br /> 3. The informacioa may be sheced with other local,state or federal agencies to the extent necessary to <br /> process the pecmit or license. <br /> 4. If yoar rcqucstal pwmit or liccnsc roquires Council action to approve,some information may beoame <br /> public. <br /> S. You have certain rights under M,S. 13.04(svailsble upon request)to review pcivi►te data on yourself. <br /> 6. Your full name is required to process this application or permi� <br /> �t�s�e� �e,r�a�►� �T'��bi I <br /> �'�l oo (�I ea san.-�- {�r�. U�- � <br /> �� <br /> ��-wc�e� � 5�c�� ��o- 9��—�`��I <br /> �r srm z�► �.� <br /> I u erstsnd my r3g6ks ova <br /> ..are <br /> Reset Fonn 32 . <br />