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CI.TY OF ORONO � 6122494616 06/14/00 09:16 � :02J02 N0:371 <br /> Sec.13.01 RIGHTS OF SU�JECTS OE DaTA � <br /> Subd. l. T�af daca. lh� daha of icdi�idusl on wham chm dio o�ro�d or m be i�or.d sball be u sac lo�ch ia rhis secdon. <br /> Subd.2. Iatormstlon reqtdred co Dt Y,1r�a ladl.tduat. An(ndividuxl as�ed�o Supp1Y ptivaca ot contidendal daa eoocsr�;,ag himxif shsll <br /> ba informrd o!: (a)�he puryo�m and tamnded usa o[�s trqusaumd dna Wi�hin r�c collecrin�En�n ayeacy,potioczl dubd]vt�Ioo, or sramwide ryjce�; <br /> (b)wtitther he caay reAua pr l�l¢g;lly Rqui�ed m rupply�he�equened d1a:(c)anY YxoWn coauqucacs srisinq from his iupplying or rc('usfng ro�upplY <br /> privticn o�aoatldandal data:and(d)th�ide4dq of a�e�per�oas or enoces iuthortzs'i by i�sue or(cd¢ral law co recei�e che dara. Thi�nqulrcmaoc�b�lt <br /> rtot apply when an ind(vidu3l 'a u{cad ro suppty tnveady�dv�dan, pur.cuan[ro sec�on 13.8Z. �ubdlvuion S, ID 1 IlW �tL�OC:[�C�t Of�Cti. <br /> 'tha c^^^m;;�,�0er�(q�'4nur m�v k�- �e n4d4� rottvlr�Q urtda���s subEi�uion in tha indivi u�1 lncome ¢r qr araaar� �x re�ur.d <br /> j�cr.,�a�ions i�sca�d Qf an aaa (arms. <br /> 9ubd. �. Ac�a�to d�ta by ladlridual. lipon nquost oo a reipors.flbl�au�hariry.in indlvi�ival zhall be tnfocm�d whechcr ho�s ihc subjecc <br /> af�rared data on 1ndlvidu�, �n4 wh�;har it is clauifled ai pubtic, pn�am o�conf.ds�d�l. Gpoa A;s tUrshar request aa indi�iduat who u�e subje:c <br /> nf srarvd privv�a or pubtie dus on tndividuals shatl ba sCown d�s dura wichout any c`urgm w him and.'if he dairz�, thsll bc Inforsned of tha coate�c <br /> nnd meaniaQ ol chat daa_ ARar nn indi�idual hu 6cen�howe�he pn�au dsm and inlortnad of ics meaalaa, taa dad pe�d aoc b¢dlscla9¢d w him for <br /> siu mondu dter�aRer unles� a di�puu or tcdon punvane m thit socdon ia pendin`or addlcoaa! d�a on�fis indi�idual haa beee collcc�ad or creamd. <br /> The teapon�iblo zuthoriLy�h�il pro�ida copies ot d�a privare or public da�a upon ce�ues�by�e itdivldusl subJec�of dte d�e►. 'fl�e cesponsible�uthonry <br /> mny tsquira the nquo�dnp p�reon te pdy the�cnu!cosn o(makrn�.oer�il�rin�.sr.d compilinQ �he copi�s. <br /> 'ZT�a ratpoi+.sib{o au�isoriry ihall compty icnmodiacaly, U posaibie, Wi�h uy tequert ssde putsu�nt w tAis svbdi�i�ion, or wi�hin ltve d�ye of <br /> tha da�a o(c!►e raQui�t,e:celudln�SieuAays,Sundays and l�gal halldayi,U immedace compliscce is not po�sib(s. If he eannot comply w{Q��ha reques� <br /> wirhin rhac drue,he ahall�o irilortn tlta iadividual,snd may havm an addidoCnl Ave day�within wtiieh to eamply wita tha cvquest, excludina Saturdsys. <br /> Sunday�a�nd leysl holidays. <br /> 5ubd.4. R�acedure�Eea dzla{�not uctsrat�or eomptet�. An i�di�idu�l aiay contest ths accu�cy or complaeness of pubtic or prn'ate ' <br /> dao eoRceming hirnealf. To mxorcbe ehls r;ah�an Indiv(dusl shall nodly in wricn;�:e rerpoasibis auehoriry daicribinp the n�mre of che di�aoreemenc. . <br /> Tha rs6Daruibla authoriry 3haJl w{thl�t 30 d�y�eit�er. (a)comeu�he daa laur.d ro Ce inac:u�sm ot lneomplrte snd iasmpt to nod°y put�eeiyiencs of <br /> lnoccurate or ftuomPlaee dav, includln�ncipiena nuned by tha indlvldual; oc(D)aadfy U:o indlvidus! �tuc he belteve� r,he dacl to be eorrecc. Dau <br /> fn dirpute nAlll ba duc!o�ed oNy i!ihe lndlri4uil'� �a�smane of disuqtaxmmnc u ir.clud�d a{�ebe dlsclosed dao. <br /> The decemtinadon oP�ha respons�bim �uehortry miy ba tpyeal�d yursvi.[ro the pro�isions o!tha �dminist�clve p�vicedure ut rel�ring ro <br /> aonm�red csees. <br /> I?A'x'� P�.IV�,�Y .�D�ISORY <br /> In aecordaace wich M.S. 13.04, Subd. 2, "Righcs�P subjects o(da�a", we would like to inform you thac your reques� <br /> for a permit or llcense from che Ciry of Orono or any of i�s depa.�meacs may require you to furnish certain privace or <br /> confidcndal lnformatinn. <br /> You are noclfled char: <br /> 1. The infocmatioa you furnish wili be used to decermine your qualification for the permit or licen.ge requestcd. <br /> �. You may refuse to supply daca, but rtftisal ma� rtqulre thac the Ciry dany thc p�rmic oc lic�nsc. <br /> 3. The inFocusa�ion may be shared wic�othec local, s�aie oc federal agtncies to the ezten�n�cessary to process <br /> the p�rmit or licanse. <br /> �l. [f your requesred permic oc licease requires Council action to approve, some isifocm�cio❑ may become <br /> public. � <br /> 3. You ha�e cercaia righes under M.S. 13.04 (availabie upon reques�) �o review pcivace data on yoursc]f. <br /> 6. Your 1`ull name is required ro process chis applicacioa or p:rm.ic. <br /> „�/v PrP ��D h/2 �C-hf'�C%�'11 Pt� __ <br /> F'�nc �tiddl� Lasc <br /> :���ro�� �-�il, — <br /> ' Addnsa � � f <br /> �x 4,e�ri o� /u �SS.��3�� y�/ �'�(p <br /> � <br /> Ciqr Stata Zip Phoam <br /> I undec3taqd my righ[s es s[nted abovc. <br /> l�l /., <br /> 7'� ��i� �� y�� <br /> i . �r�-;�v""` <br /> Sl�n�rurc <br />