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TY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 �0,�22 <br /> Ssc.13.04 It1G1�TB OF SUHJEC'[S OF DAT.0 <br /> Subd. 1. Type o�dats. Z'Aa h�hts of indlvidyd o11 Whom the data I�cro[sd or to ba stoced thall ba ts set forth in this uedan. <br /> Subd.3. Woae�d�s requdr�d tu b��hr�Ind(•(dmi, qq I�dlWdwl as►ced ro upp�y P�wa or oonfidecti�l data conaeraing h3taaelf�hall <br /> bs Wotmed oft (t)dto pu[poce uu!iqtonded ute ot tht tequesud d�p within tht tollecdn`lnte agenay,polldCxl eubdlvitian,or�nte�vide syunm: <br /> (bI whether M may rafli�e oT b le�ally requfred co supply the raqueual dua:{c)�nY known con�equeace ariiing from hls aapplyfn�or mtl�iln�ro aupply <br /> ptivia or coaMends!d�n;and(d)dte idenriry of odiu persons or endties authorized by su�e or federal I�w m rr.ceive d�e dan. Tht�requircmeac stwli <br /> ��Pp�Y When an ladividu�l i�asked w mpQ1Y taveiris�d�e daa.punuam m ceedon 13.B2.subdivision S.to i I�w enforcement olPEcer. <br /> ..� <br /> 7T►o cnmmusfoner o!rcvem�c mn� olace �he nodce recuired unde��his sybd(vision ta �he ind�,v�u „�come raz�orooem ux �el�irid <br /> "-'" l�tt�doot lmm�ul u[on rho�o form�. • , <br /> SuEd. 3. Acetst W data by indlridual. Upon rcques�ro�rcipunsible�utboriry,�n indi�idwl shall be tnfotmed whaih�r 6e b the svt+jeci <br /> ot ttoted d�ra on iadividwis.and wMdtar u is clusffied a�pubiu.Ppvue or conlfderuial. Upon 6is tl�trher request,out tadividual who i�rhe wbjZct <br /> of sto�pri�rte or publk dw nn iadividuds slull be�hwvn�he dan vvithouc aeq char�e w him tnd;iF he desltas.�!I be infonned of the eontent <br /> ud n�eanin`of d»t daa. Afcer Qn individual ha�beao shoWn the pdvue dau and in(om�ed of iu axwiu`.d�e t}au need norb�dtaclosed w him far <br /> d:monrhs thereaE�er unleu a dicpute or rccion punuanc ao �his seedoa d pendln`or addi�ioml dau on the i�dividud I�a�been aoUecud or aeauxl. <br /> 7Ue ra�wns�ble authpriry ciull pro�ide copie�of rhe pmrue or pub)k dea upon rcquesc Ar�he indiviQwt wbjeet of rhe dan. ?he deipoasible authc+�iry <br /> a+ay t�equire tke reqttestinY P�rson ro pry dro ua�f eoccs of makin;.urtil�iin�.and eompiliaa d�e eopN�. <br /> 'Iho trxponeible wthoriry�11 comply immedlatelY�if possibk.vieh aar rcquesc made pureuant ov wis�cubdlvi�on,or widila fiva day:of <br /> d�e date o(the roquet�,eaccludine 9aaudzys.Sundays ond k`d holldiye,(f f�uasdlaee compllu�ce is noc po�siWo. IPhe caru�a comply wieh d,e roquesc <br /> Mtthln chac�Lne,ho abal)w inform rtw ladivWual,aad may ha�e an.ddltiop�l flve d�ys widdn wh(ch m wmply widi the eequeat,exeludlas Saturdays, . <br /> �nJ�Yi�ad lepl holld�y�. <br /> Subd,s. Ptoeedure Mrh�dnta uc net aceur�t�or eompleta �1n tadlvplual mty coirceu►he ucunay er complereno�s of publle or privaae <br /> dia eoacornln�6[mself. To exercise rhis dQht.�n iadi4idw!shall aoeily ia t�nidnq�he re:potutbk aurhuc�4Y deuriblo�d,a naruro of tho dta�ree�ncnc. . <br /> The te�poa�Jble�uttwriq ch�ll wi�hin 30 days euher. (i)eomec the dam found�a be inucurate or incomptue wnd�aempt to nodfy pu�reeipkna of <br /> iruocunte or Iqcampleea d�n, Includin�r�cipkn�s nsma!by�he individud;or(b)nodl'y�tee indivcduat th�t he bellevea the daa co be cotrec� Daa <br /> lei d1�pu�e olfall be disclo�ad anly if tha indlvidusl's saeemene of dlraaramenc is includad with rhe di�cloud daa. <br /> 'ilx deternunadon of rhe responsiblo authoriry maY bo appealed pursuaai to th�pmvisbnc of rhe admtni�uadve prucedure aec rel�qn�m <br /> conoexed cau� <br /> � pATA P�LTvA v A� RY � � <br /> !n accocdaace wi[h M.S. 13.04, Subd.2. "Itighu of su4iJects of daca', we would 11ke co inform you thac yotu requesc <br /> for a p�cymie or Itcense from the City of Orono or any of its�depar[tn�euta uyy nqulra you to furnish certaln privatc or <br /> confidenNal Information. <br /> You are natlhed that: <br /> 1. The information you furnish wW be uscd to decerminc your qualificacion for the permic oriicenso requ�sced. <br /> 2. You may rafuse to supply daca. bue rcfusal may require tha[ the City deny the permlt or license. <br /> 3. The infarmAiion may be shared wich otq�c toeal� scate or fedetal agenciea ro[he excent nce�ssary eo process <br /> the peccnie or liapse. <br /> • 4. . Yf your requested pecmit or llcense requirec Couucit aetion to appcove, come infarniatlon may become <br /> � public. , <br /> S. You have certain rights under M,S. 13,04 (�v4iiab[e upoa request) to rev'tew private data on youraelf. <br /> 6, Yaur fult nnme is requircd to process„thls applScuion or permit. � <br /> • � � ' � � � I.asc <br /> . � <br /> . . , - m,,v .��a 9 ' y� <br /> c��y - am� a�a two� <br /> ; <br /> ' I�underst d my dghts as s ubove. <br /> 8 rn <br />