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CiTY OF ORONO � 6124fSU510 04/14/9S US:59 [� :02/02 N0:368 <br /> r , <br /> Sea.i3.�ItiGtCl'S OF SUBJECT'S�F D.ITA <br /> SubQ. 1. 'T�of data. T6e d;6cs of individwl on wbom�c Cata is stoted or to be scortd shaD bo as ut focth la Ctis sectioa. <br /> Subf.2. iotvriaatloa rcqulra!to be d�ea!ad!►ldutl. M iudirldual ukcd to fuppty privam or co�desaai dsn coneerniq;aimself sbaU <br /> ps intntat�d of' (t)the purpox ud iateaded usc of the[eQttesmd daq witlflu dte coqadae Snte a;tocy.polioc�l abdtvision,or�arowide sysmm: <br /> (b)wAeeher he msr rclUse ot u Ie;�Ur requErod ro suppir�he tequeaeed�an:(c)ury knowe connqus�e arisa=trom bis wpplyin`ec rcMsia�eo supplY <br /> • pe�rax o�eonlfdeno�t dw:aeid(d)rhe i�ieadry of oduc panons or eaodes suthorised Dy sna or iedenl taw ro recei�c rhe dan. 'Ihts rsquiremenc s6alI <br /> not�pply�n�n individual h ut�ed.to supply inveitrpdw dan,pueivaa�w ucoon 1�.a2,wDdivi�ion S,w a Iaw eatozssment vfCicer. - <br /> 'ri►�eommiisi;,er of rcvcoue mav nlace�he nodce f�Qy�lttd Ufu1lT d115 tiubdivifiOrt in tht IM11VidUl11 UIC4rt14�X Q�onfpCLtY dx �e1�� <br /> 4nnttedoru ituuid of on�o�e fomu. <br /> � Subd.3. Acaa�to dsto py ladldduol. Upon nQueas w s responsibie audwriry,an u►dividual sAaU be infonnect whed►ec he a tb��ubjccc <br /> ot�rond dus oe►indiriduat�,and whecber fc n elsssitKd u publk,priv�K or confidentid. Upon hts NrtAer reques�,sn iadividual who It the suDjec� <br /> of�rond pdvan or pubttc dzn on inQividuali chdl b�shown du d�a wid�ouc Rnr clueQe oo him snd,if he dmere�,s6all be lnfoemed of du conans <br /> md mN�nip�o[iAac dw. Aher an indivalu�t hu baa sHowa the pdrau data snd inlormed v(ia meutin�.the daa uced noc be dlseloled te hfia for <br /> �i�a�4b�thehther un]ps a dispuee or aedoa punuanc so chis roction is pe�ien or addidoml d�n oa uie indi�idual h�s Deen eollecttd or ers�md. <br /> 'I11s ewpoatible authoeity�hUl provide copies ot d�e privace oc public dau upon aqwst by the indlrldunl sub)ecc ot ehe data. Tha�espoosible wihoriry <br /> utay rsq+tln du requeoMnj p�non to pay th�aetusl cosu v!makin�.cerafyfo�,and comyilin�the eopies. <br /> Tht t�nponfibl�authoriry thdl eomply inuned'utely,if pouiblt,with aar requts[made pursu�nt co this sulxii�ision,ur widila Avs dsys of <br /> IW dur af I�s tequeu.eaeludinj S�aird�ys.Sundays aM fepl sol�ys.U im�dhu eomplianee u noc possible. if Fie etnaoc comply wlthh dK nquex <br /> withiti dpt ti�e.be�lull m intom�rhe iadividwl.�nd mty tutve an sddieionat dve d�ys wid►in Whieh to cumply xn�h tGe requesc,excludior sswrdays, <br /> Sundq��nd I•;tt hotid�ys. <br /> Subd.4. Proetdun wMn data b aot aawst�or compkt�. M indlridwl aKr conasc d�e�tcur+ey o�compteteneu of public or pdva�e <br /> d�a eoAmtenfn�hinwtL To.�nmlx�his rithc.aa Sealividn�l sA�ll nocly in wriri�y d�e ro�poatlbte w�Aoriry deutibini du namre ot du disyreta»at. <br /> '11fs n�pon�lWs wrhonry t!u!I wi�hin 30 day��itlu�: (a)cvrtect�t+e dan found to be in�ecunte or iruomptea and�aempt m aotify psit reeipiean ot <br /> Iq�eeuna or ineomptea dan,iacludia{cecipien�s named by tlw individwl:o�(by nonry IAe individus!thac h�e betleves the data m De cort�e�. Daa <br /> 1n dlipuq fhsp be df�closcd oNy tf the irufividuil'i sotemeat of disa=taenxnc!s IncLded�ith the d'ucloted din. <br /> 7'F►�d�artninsaon o!�he mspansibla xu�horiry ttWy be�ppcal�d punuuu to du provisione of dw uiminisazave procedure ut telsdu�w <br /> CQIIIlfRd ui�s. <br /> �ATA PRIYACY ADVISORY <br /> In accor�dence with M.S. 13.04,Subd.2, "Rights af subjecu of d�ta",we would like to inform you chat your request <br /> tot s pen�tit or licea�a trom the City of Orono or atiy of iu departmeats may require you to turnish ctrtain privue or <br /> confideadv intonuatioa. <br /> You are notJflcd that:• <br /> 1. The informatton you furnish will be used to detecmine youc qualification for the permit or ticense requested. <br /> 2, you may refuse co suQply data, buc refusal may rcquire that the Ciry deay cbe perauc ot licease. <br /> 3. 'Ihhe infornution may be shared wich other local.scace or federal agencies to the excecc neceuary to process <br /> the permit ar liceate. <br /> 4. 1!your requeated pecmit or lic�se requtres Couacil �ctIon to apptove, some iaformatioa may beeome <br /> Qubtic. <br /> S. You bave certain rights unde�M.S. I3.04(ava�lable upon reqaesc) �o�eview prlvace data on yourseli. <br /> b. Yo�tr tull aune is required co process thts appl'►cuieu ot pertaic. <br /> \ — � � . <br /> F►M �� 'a`� - �' <br /> , � <br /> "°d �,� �/1/ �2s�--�7-3� <br /> �d San Zi� Pboae <br /> I umde tsnd my ri�hcs �a stu bov . <br /> 1 <br /> Si= » <br />