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May 16 06 10: 10a Marriatt International 6123760735 p. 2 <br /> � <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA <br /> Subd.l. Type of dat�. 'llu rights of individual on wiwm tl►e dats i�storod or to be scored shall be as set forth in this soction. <br /> Subd.2lnfa�matioacequimdtobegivenmdividual.Mindividualaa�edtnsuPPly�ive�eoroa�fidmtialdsm�wr�caainglri�Jfshellbe <br /> informed of (a)tbe piapose and intended use ofthe�equ�dala within tho colloeting alate agerwy,Poiitica!subdivision,or�atewide sYstem:(b) <br /> whe�er he mey refuae a is legally requit+ed ro supply tbe reqnested data:(a)anY lrnown oonsequemx erismg fmm his wpplyin6m��8��PPfY <br /> privateoroon6daitiel deta;aM(d)tbe identity ofothape�►s a eatitieswtl�edby slameorfodaal lawta raxivetl�edats.'Ihis reqw�eova�tehaq <br /> not apply whea an o�dividuet is aslced to supply investigetive data,pu�suant to section 13.82,subdivision 5,to a law eotonccmerrt offica. <br /> The oort���iona of revenue mav plaoe fhe�wtics reui�usd�mder thia subdivisia�in the individus)inoome lex or orooertv mx refimd <br /> inafnmtitia�s instead{��forms. <br /> Subd.3.Acoess to defs by iodividuel.Upon�equest m a�esporoible antbocity,ao individuol shell be informod wleahc heis thesubjatof <br /> stoted data oa iadividaels,an4 whetlw it is clm�ed as public,priva2e or om�fidartiel.Upan his fiather reqtxst,am individual w6o is the subjax of <br /> stored{xivame or public data�i�ividuels s6all be ahown the dsla witlwut a�ry ci�ge tn him and,if he desires,slmll be informed of the c+onmd and <br /> meaniag of tlmt data ARer an individual hes bxn abown tl�a priveoe data mul ieformed of its memiing.the dsta neod aot ba discloeed to him for sbc <br /> moatle tha�unless s dispute or ac4ioa pmsuant W this sectia�is pmdi�aradditionat data on tl�e individual t�as beea oolioceod or crcaoed.1be <br /> cosponsible authority�Fmll p�evide capies oftlie private ot public deta upa�ceyuest by the iadividuel subject of the dafa. The nspomible suttwtity <br /> �i'�����8 D��to pay the actuel oosts of mal�g,aadf�ring,aad compiling du copia. <br /> 'he ra9ponsibk authority shall�y i�nediately,ifposs►ble,wiihaey roq�estmada ptiosum�t w this subd'msion,or within five days of <br /> the date ofthe nqu�st,accluding Satiudays�Suadays md legal holidays�if�modieme oompli�aoe is not pa�'ble.Ifbe cmmotcompiy wuhtherequeat <br /> within thattaac,he shall w i�'oTm the individual,and mey have an addi6onal fivedays witl�in whi¢h to canply vrithd�ereques�acdud'mg Set�deys, <br /> Sundays end legal holiddayys. <br /> Subd.4.Procadune wlxn data is�ataa�na�eor oowpkte.An individuel may oanoest t6e aocaracy�canpleune9s ofpublic or privete de� <br /> conxming tawn�elt To exeociee this righ�an�dividusl sl�sll nabfy inw�iting tlue nspoagibk autlwtity desmbing the uariee of tlie disageema�t Tho <br /> respo�le withority shsll within 30 deys eid�ar. (a)aateet the deta i�xmd to bc ir�aaurste oc iocaa�pletc and attaapt to notify past rccipiarts of <br /> ins�xucsie or inoomplete dete.iacluding recipieats nemod by the individiml;�(b)aatify 16e individuel thst he betieves the data to be coRoct I�ta in <br /> dispute shall bo disdoaed only if tlu individual's sfaoaawrt of dim�rcnt is inciuded with the disclosed data <br /> '!be detQminatioo of the responsible autlwrity msy be appealed purs�mnt to the provisiaos of the edmin�va p�ocediue ad relating w <br /> co�eaood cases. <br /> DATA PRiVACY ADV�SORY <br /> In acoordm�ce with M.5.13.04,Subd.2,"Rights of subjects of data",w�would like to infvrm you thatyo�request <br /> for a permit or license fmm the City of Orono or any of its departme�s may requirc you to fivaish oertain pTivate or <br /> con5de�ial inforinatiou. <br /> You are notified that: <br /> 1. The informatiun you fiunish will be used to det�mnine your qualification fot the pern�it or license <br /> eecNestod• <br /> 2 Yau may refuse to suppIy dem,but r�efusal may roquir�e that the City deny the permit or lioense. <br /> 3. T6e infonnatia�may be st�ared with ather local, state ot fedetal aga�eies to t6e extent necessary to <br /> process the permit or license. <br /> 4. If your requested perenit or license requires Cou�il action to approve,some information may become <br /> public. <br /> 5. You have certain rights andtr M.S.13.04(available upon request)to review p�ivate data on yotuself. <br /> 6. Your fuJl name is require�to prooess this applic�tion or pennit <br /> � <br /> V <br /> � Mi I.ut <br /> ��� ��a� ����� <br /> Addr�s � , ���JJ�►c <br /> State T�p Pho�e <br /> I a ntand my�hts sbtied ve. <br /> � <br /> c�v+i' <br /> Bigoature <br /> Reset Form 32 <br />