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� CITY OF ORONO � 6124730510 09/24/96 14:00 � :03/03 N0:522 <br /> Sec.13.04 RIGI�TS OF SUBJ�CTS OF DA'r'� <br /> Subd. 1. Typt of dstr. TNe riabts of individud oo whom rht daa U srorod or ro be sco�ed�h�ll bs as see fonh in dtis uedwn. <br /> Subd.�. Wonaatlos riqtdr�d to be�lven iodt•idual. M fodividual asiced ro aPpIY Privax or aonfidecdv dan concsrnla4 hlmaelP�slt <br /> be in[o�med of: (t)the purpose uid intanded use ot fie requesmd daa��rirhia nc�wlleedn�ln�e ageaay.poiideal aubdi+�irion,or suro�ride sy��em: <br /> (b)wi�ether M nuy refliss or is legdly mquired m suppty rhe roque�ad dou:(e)any Icnown eon�equenc:e arisir►g from 6is applyln�or�elliaMg ro svpply <br /> privua o�coolWeaciaf d�a;and(d)�e idendry of ofia persons or enddes�ufiorized by w�or federai!xw u�nxeive d�e da�. Thb erqutramrnc shull <br /> not opply when an individuel ia ssked co wpp1Y�+�esrigadve daa.pursuani�o cee6on 13.B2,subdivision S.to�I�w enforcemer►t olfker. <br /> 71►o c mmiubner f venue mev D1ace fie noc�cc reuuired under this subdivision in� individuel income rax ar oroeem ma�ro 'nd <br /> inseeucdom�amaul e!oa�o�e fo�me. " <br /> SuEd,3. A�s to dab by indlriduai. Upon rcques[ro a rcsPonsi0le�utboriry.�n iadi�►idual shall be infomud whed�er he b�he�bjeec <br /> ot�wred dua on indlviduaJs.and wh�d�er ic is elustfwd w publie.privs�e or conAdeNi�i, Upon his tlurher rcques[,An f�ividusl who is d�e wbject <br /> of scvred pri��ro oe public dau nn individuals slull be shoWn�M�e dan wid�ouc any ehar�e w him and;if he desires,ahap be inforoud of du wntenc <br /> �tid�g of dfu daa. After�n individu�!har beao showa�he pd��ue daa and infomkd of irs meaning.d►e dea need ooc M diselosed to him for <br /> iix amndu�heroaher unle�a dispu�e or�odon pursuan�m�h1s seedoa is pendia�or addi�ion�l da�on the iodivi�ud Aoa been oolleead or eresuul. <br /> 11�s neponeible�urhoriry�hall pro�i�a eopiea of rhe pmue or public daa upon rcquesc Dr J�e individua!subjac�of d�e dara. 7'he retponsibte iufio�iry <br /> invy vequi�e the roqueatin�ponoa ro psy d+e u;a�1 cosu af making.urdfyin�.ud oon�iliag ihe wpi�s. <br /> The Ksponeible wrhoriry e1Wl comply i�amadia�aty,if possibk,wid�aoy ro9uesc male pursuant oo rhis Yubdivision,or wi�hin R�a days of <br /> d�e dare of d�e roquesG ezcludlna Saa►edsys.Sundays�nd legd holld�ys,if bia�edlace compliante is not po9sibta 1Nu cannot comply wuh du roquese <br /> wlddn thu�Ime,ho 91ud1 eo intonn d�e individual,and rttay ha�e an addifional five d�ys wit6in which ro wmply witb t!►e request,exei�lag Sawrdays. <br /> Sviwl�Yt wnd k�pl holWtys. <br /> Subd.4. Ptoeedur�whiti data�s net acenrsta or eomplete. An individud m�y conms�the accnracy or wenplarones�of public or privaoe <br /> d�a eoncernint himselG To eaerciu dus right.�n individuel shall noaly in wridn��he rosp�naible audws�y deseriblt�d�a neare o[d�o dittgreemanc. <br /> 'IM roaponelbk authoriq shdl wid�in 30 days eieher. fa)correec the dam found w be inaccurarc or inwn►plece And�aea�t eo nodfy p�c reeipkna of <br /> iasecunce or iacamplete dpa.lneiudin`Kcipienu nrmed by thc indiv�lual:or @)notily du indiv�lual tl�s�he beliaves d+e daa oo be eonec4 Data <br /> (a di�pu�e�Nall be dixloud oNy jf tha iadividusl's tra�ement of d'faa�reement is imludad with�ho diacloud daa. <br /> '{iu detsmnination of�he rosponsihle au�horiry may ba appealed pursuuu m th�pro�isionc o/rhe admini:a�adve procedure act rel�dn6 u� <br /> wntasrod c�ees. . <br /> � p�T�ACY�QYi RY <br /> !n roccordance with M.S. 13.04,Subd.2, "Righcs of sulijecta of data", we would like to infocm you that your requesc <br /> for a permic or license from the Cicy of Orono or any o�i�s depanmencs may require you to i�rnish certain privato or <br /> confidential information. <br /> You aro natifed that: <br /> 1. The infocmetion you furnish will be used to decermine your quaiificacion for ehe perau�or license reques[ed. <br /> 2. You auy refuse co supply daca, buc retusal may require thac che City deny the penait or license. <br /> 3. The information may be shared wich ocdcc 1oea1, scace or fedctal agencies to the extent necesaery to process <br /> the permic or license. <br /> � 4. . If your requested pecmit or license requires Council ection co appmve, come infarm�ttoa may become <br /> ' public. <br /> S. You have certain righcs under M.S. 13.04 (available upon tequest) to review private data oa yourself. <br /> 6. Your fuU name is requind to process tbls appllcation or permit. <br /> . ��O ��e..� r" ` ` � w�l� � <br /> � Pirsi � �[tddla I.at[. <br /> l l� �• � �- r <br /> "� bb�; � - /�� � �a �.�y-�"� <br /> �a �m z� r��. <br /> ' 1•u�tdeTs rights a� ed abova <br /> BIaMN <br /> Received Time Sen_ 2d. 1 �d2PM Print Tima cpn �d � ���pur <br />