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• CITY OF ORONO � 6124T30510 09/24/96 14:00 � :03/03 N0:522 <br /> . � <br /> Sre.13.041tlGlfi'1'S OF Sf16�i8C'CS OF DA1'� <br /> Subd. 1. Type of d�t�. Y'Ae tiyba of ladlvdwl oo Whcm d+e d�o b�rod oe ro be seoied�h�ll ba u see Med�In�hts�ecdan. <br /> Subd.3. L�ormatlo�riq+�nd ta M p�snlcdf•idwl. M Iodlvidwl asked►o apply privue o�oonfi�deeod daa conasrolag�imeelf shalt <br /> be(n[om�ed of: (�)dte porpose and iuteaded use of�he nquesred daa�widdn dx eo��eadai Ira�e�geaoy.PoUdcal aubdi�isioa�or�rouride syciem: <br /> (b)r�ad�er M msy caAue ot i�kplly required ro s�+PplY du roquesoed d�a:(c)�nY known eon�equence�tising from Ws supplylnj or ceAult�ro supply <br /> pdvw orcoaMendal d�a;and(d)dro kknriry ol od�er peRons or eadties wdwrized by sn�e oc feder�l l�w m r�eire d�e da►a. T6h nequir�mrnc shall <br /> a�tpply when an Individuel i��ske4 0o wpply investi��dve daa.pursuont m�dnn l3.BZ,tub�ivirion S.to�h�enforcement olricer. <br /> ,.,� <br /> ��gner Qf rovenue a�o1�ce�e n e reauiccil undar thi�wfxiivision la the individwl in�me rsx or erooenv��l�nd <br /> _ ... p� �..[on so to�s, ' " , <br /> Subd,3. Acee�s to dnta by indl�►idual. Upon requeH ro�rc�ansible w�oriry.tn lodiv�wt shall be intonaed wiad►er 6e 4�atbjecc <br /> ot teared dau on iedlvidwls.and whnAer ic is e�sslfied a�public,ppvue or conAdeni4l. Upon his l�Mer�uea.�n ladivWual wlw{�d�e mbject <br /> of�oorod pri��ro or publk dpu�oe individwls shall bs�6own rhe dan wGhou�suy chane oo him ud;if he desleea.�IuU be ioforn�d of die wnronc <br /> �pd m6�ning ut thu da�a. Ahar�n iadividwt har bean showa�he pdwte da�u�d ia[omed of irs meaniag.tb,e tha need ooc b�di�xlosed to him for <br /> d�eoond��thsres4ar uNeR�di:pute or�odon pursuuu oo�his s�don is pelWfa;or addilioml d�on 1he UWh�i�u!!w been oollee(ed or ereatecl. <br /> The mpc,nr�bk�ythoriqr�p pcovide copia of�he privare or publk daa upon neques��y d�e indlvidua!abJect of d�s dara. The teiponsbk�udw�iry <br /> rtuy tequi�e the req11eu1n�per�on 10 pay d�acou�l cosrs of makina.�erdyin�.aad eotnpiNn��he wpi�t. <br /> The ee�pondble wda�iry.sh�N comply immedi��sly,if possibk.wld��roquea nwde punu�nt ao Wis�bdivition,or wi�hia Ave daya of <br /> rbs�ta of dte roquea.excluAfnP 9a�uid�ys.Sw�d�ys��M leid hoUd�yt�it i�dlue aompltancs u not po�s'blo. I(�e eama�comply aGh�he roquos� <br /> wld�ln dut tLne.he abaU w inform dw lndividwl.aad nuy hs�e+�n�ddiriootl Ave d�rs wldiin whicb w comp�y ahb ehe e�equest,�xciudlqr Sawtd�ys. <br /> 9tia�d�Ye�nd k�wl hollday�. <br /> Subd.4. Preeednn�6w dota ts not aaanrota or eompkte. An bWivi�Ual naY co�aL die zccunap or eompleronest of publk or priviue <br /> d�a eeaoernlns himrelf. ?o exerci�a dus ri`ht.�n indiYlenN sh�ll nodly ia Mrttino ehe responalbk�udaeiqr de�erml�d�e n�aro ot dw dlasroemenc. . <br /> The ee�pondbk�u�horiq dull wid+in 30 d�ya etther. (�correcc d�e d�lound�0 6e inuacate or i�utnplea�nd a�apt m aotify p�a reclpkrus oE <br /> �nte or I�aaPlete dPa.Mcludin�mcipieaW nam�d br�he Individwl:or(b)eo�iA�da individual dut he belbvaa d�e d�n to bs ooneae. Dap <br /> !n dlipute ih�ll be disclaad oNY if tha iadlridusl's sn�ament of dla/�ame�n brcludod.vid�die di�cloted daa�. <br /> 39►e detsrn►i�tion of�he ro�onsible au�lariry m�y bo appeded pu�u�u m�M p��fslona of d�e admini:aadve procaduro ux rel�dna o0 <br /> oonc�ed eraea. . <br /> : p�,�_�ttvA�t j�RY <br /> ]n�c�cordaneo wich M.S. 13.04�Subd.2, "Iti�ha of'u6Jects of daca", we would like w infocm you that your request <br /> for a permit oc llcense from the City of Omno or at�y ot its departments may requlre you to ilirntsh certain privato or <br /> aoafidenNal informuion. <br /> You ue aottfied that: <br /> i. The inforn�adon you h+rnish wiU be used to decern�ine your qualificacton for the permic oriicense requesc�. <br /> 2. You au+y r�fuse co supply daca. bue nilisal may requlre thac che City deny tha permit or licerue. <br /> 3. The information may be shaced witb ot4cr loeel.staro or f�cal agencies to tliee ex�ent necessery to process <br /> the permic or lkeosa <br /> • 4. . If your tequasted pecmit or licensa requira C��ii �etion to appmve. some infarnietlon may become <br /> ' public. <br /> S. You have e.ercain righcs undec M.S. 13.04 (avaitable upon requesc) to reviow prfvate data on yau�rself. <br /> 6. Ynur full a�ne is requirod w process thla�pplicuion or pennic. <br /> • , _...K:.,� ��! I3.`� J`'F-i�,Gt�F rst r.-_ <br /> , g�� Middle Lnt. <br /> �zp�f3k�.rl�l.� , <br /> .�.���-e be.�� �-4.&� W�N � SSIiU Lf30-_7as�' ' <br /> ...� � - <br /> c;ya, a� z� r�n. <br /> • 1.uqd rlghte a�c stana abov�. <br /> Bljn�a��a <br /> pnneivea TiMe Cen 9/ 1 �A9DlI �..:�1 T:�_ n__ n� � _ �nn�r <br />