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l.11 � �/l' VfIVIVV �] UIG'11JVJ1V V't/L't/ %U VJ.J% �j' .UL/VL I`IV.�VIJ <br /> � �. <br /> Sea.17.04 RIGHTS OF NA7£CTS OF D,tTA <br /> Subd. 1. 'C�ot datn. Thc rlghcs of indtvidus!oa wEom�he Caa is scoced or ro Dc scored shsD bc as sct foRh in this seccoa. <br /> SuW... Iafvrsnatloa requinti!to ba�lren ladl�lduY1. An indirldu�l»kcd to fupply Arivut or cont;deoca!d�n contemis�a Aimsslf sh�ll <br /> Ga inlorm�d of` (t)the purpose ind inundcd use u(the rtQucstaci dtts wltDlu the colladna lule�gtncy,poliocal rubdivi�iop,os 7tttawido rystam; <br /> (b)whechsr he may rr}Uu ot is]e�illy requfm!ro rvppiy ihe rrquaied data:(c)iny k+wwn co�ewccce�risiny!rom his�upplyin�or rclUsinj to supply <br /> • pri��m or eonRdanod d�a:and(d)�he idenary af oeher prnom or enoac�svd�orired by suu or fedecal!aw co recai�e�he dau. Thls requlremeac shall <br /> no��pply W1�n an lndiv;dusl!s asked,co nippty inveso�.6��dara,pursuant�o section 13.d2,iubdiviiion S,co a lnw ento�ement oftuer. - <br /> e Q�ma=��p�er of te�enut mev �lace ehe nooce r�aulrrd undrr�his wbdivision in �hc ImfiviQual inenmc wx ar omaern u� retund <br /> lntttuCdoro tn��q�d of on�o�e formt. <br /> ' Subd.3. Aecw to dnto by Indl•idual. Upon reque�s to�respon�ibte auchoriry,an indi�idual shall be infomse4 whethet Ae i�th�n+bjeet <br /> of aWroC dats on indiriduilf,u,d wheeher I�is classified u public,prir�m or confidenCd. UQon hls Nr�her reQuie,in individual who Is tke euDjeet <br /> of uprtd prtvur or publtc d��on individu�J�ch�l be sEovm ehe diea���houc rnr charpe to him and, if hc desiru,sDaU De InfornxQ o!the tontent <br /> �nd mt►nin{o!chu dan. Aher in tndi�idual hu ban showa�he p�iriu d�u ind infurmed of iu meudnQ.tho daa nccd noc be dlsdoted to h!m for <br /> �ix moatfif tharethet unlets i dispuee or�cdon pursuan�m�his ucrion is pcndinj or iddiooaat C�u oo�he indi�idual hes Deen tollecad or ere�ttrd. <br /> Tha respoatible iutDactry th�ll provide copies oC che yrivtte or public dau upon rcQuest br the indlrldual mbJecc of che dita. Tha reiponsible iuehoriry <br /> miy rsqulrc d+r rcquesdnj p�non to piy che utust cosu of makin�,certifying.and�omyilin=e6e copies. <br /> The n7pon�ibl�authotiry shtll comply itnmed'utely,if yossi0te,wi�h say requasc tniJe punuant tn rhis n,bdivision,ur wirhln Rve day�of <br /> tht Qate of du nqucst,eaehtQio�Stturdays,SunQiys end lesal Lolidays,if irtu�xdt�te enmptitnce a not yossible. if he ctnnot comply wld�dfe tequeu <br /> withito that tifie.he thdt co inlorra the iadividuu.and rtuy h+�ve an�ddicoael t[re d�y�wid�in which ro cumply wi�h the requesr,e:dudint S�turdays, <br /> Sundiys u�d It;tt holki�ys. <br /> Subd.4. Proetdur�wh�n d�tn b noI accwsl�ot complet�. An lndlridud msy�onh:t the�tcuncy or eompletene�s of 9ublit or pdv�ee <br /> d�a conetminp himulL To uarclsc�hir rieht,in liufividuu�T�W nocry in wri�rhe mponslDle�u�horiry dexri6lnj the rucure ot th�diujteea»ac. <br /> '17�e rv�pvn�lbla�u�honry ihill wieAin 70 d�y�cieher. (i)�ortcc<<hc d�n found to De inacn+nm or incomplece and utempe ta notifr pa�e neipiean of <br /> ttuteunca or incomplcu dan,tncludln�recipienu namcd by the indivi0ual:or(b)notity Ne individual that he beltevts the deta tu De corraeG Diu <br /> ta dlsput�ths11 be dl�closrd onJy If�he individuil'�mtemrnc o�dii�=roemcnc!s Included Mi�h tho d'uctoud din. <br /> 71w deurmin�aon of�he rc:ponsible xutRoriry ttuy be�ppt.led punu�nt to the provisionf of the sdminisazdve pcoeedute tct n13dp=ro <br /> eontested caies. <br /> D�ITA PR.TVACY A VY 4RY <br /> In:ccordnnce with M.S. 13.04,Subd.2, "Rights af subjecu of dzta",we would fikr to inform you that yourrequest <br /> for�permit oT licensa trom the City of Orono or any of ite departments may require you to furnish eectain private ar <br /> confidenciel information. <br /> You aro notlAcd that:• ` � <br /> 1. The information you furnlsh will be used to detetmine your qu�lification for the permit or license requested. <br /> Z, You rnzy refuse co supply daca, but refusal may rcqui�e that the Ciry deny the perauc or liceme. <br /> 3. The infotmntion may be shued with other local, state or fedtral agencies to the excent necessary to process <br /> the germit ar Iicense. <br /> 4. I!your requested pecmit or licease nquires Council actioa to appro�e, some iaformation may become <br /> public. <br /> s, Yoo have certain rights under M.S. 13.04 (avnilable upon request) to review pr�vete data on youne2f. <br /> b. Your tUll name is zequ;rcd io praess this zpplication or persnit. <br /> Fint M1dC1a Lut <br /> Addnu , <br /> Clty Snp Zip PEoae <br /> I understand m Qhcs as statcd bove. <br /> � �y� <br /> Sl=aam�e <br />