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10/25/99 10:51 FAX 6123476641 FAX LC9000 C�003/007
<br /> CITY 0� ORONO � 6122494616 10/20/99 0$:56 � :03/OS N0:378
<br /> gio.13.1?4 RI�iH'T5 bK 5CJ8J1tCTS OF DAT,�
<br /> Subd� 1� 'CY,pe o[data� Th�ri�hr3 of indiv�dwl ua whcm cbe daea ls su�red or to ba srorad shal!b� as set foer�ia thim aecti�n,
<br /> Subd.7, �atorm�tloe rpu�se�en D�Llr�e�IadiMdu�i. An individual ukmd to�uppiy private or ao�fidrndd dua ao�r:srning h,irs��elf ahal►
<br /> bp inPo�nad oP: (a)�tu pulpow aud in�and+d usa�F the rnqa�avd dam wl�h4n dia cotlecc(ng+ata�e a��aacy, palldcal iubdiviaSAn,or stacawida systcm:
<br /> (b)WhttAai he nlay tnlusa oY f�lepily rsquftet!to supply�lse requesmd Cno�:(o�aeY kaowh eona�qu�rua sriFiag tmm his supptyinµor re(using�a y���pfy
<br /> pi{vate nf confidentfal t1#fai Iuld(d)thd!dlnory af afhat y�d�tsutls 0��n1i1iM�1utl1o(lzed by s�ste nr fcderal 1aw to rocelvo tha data. 7'his r+squircmcnt yh�l1
<br /> aot�ppty when an 1ndl�idr�rJ is uked to cupply inve:tigAeve cia��.puixu�t�o��ctivn 13.82,subdivision 5, w a tew enforesn�anr at!l�sar,
<br /> N,._ �_..��.. �Ra ,d �ubd�vi�ion in�q tnd{vidual income r��C or ru�nertv Gzx rcfvnd
<br /> The camml�aiQnar f�YCM2C IT6AY 4��Si.�,L�}g ^ f�..4.d1t�'�
<br /> inswc,goe�ins�ud af nn Wnre �orsns,
<br /> Suhd. 3. Aoc�to data!�y tndlvldu4i• Upon�equasr�o a ro�pon�ible aurharitY,an lndivldu�l ahal.f ba�nfnrmed whetbor ha is�tte suhjec�
<br /> .of tmt+rd ddta on itNlividual�,uid whact�4r u is cluaifCed sy public. priva�e or cuntidencial. Upon his funher roqueat, un individusl wha is tha subjecr
<br /> Af 1�fAted pl9vate or publlC�lAu oe Inq►vldwlls ph�ll be sh4wil ths dus aithont u�y ch+u`ae to him�nd;it'fio de�irea, shail be lnformed of rhe cun�ont
<br /> apd me�nin�of thae dau. Alter an Cr�1imidusl hs:b�an�hown O�s pciw�e data Ar�d fnformed of its Q►eaaing,th�d�tt need rwt be disabsed ro him Pnr
<br /> alx oa�uha thsreaiter nt�ars,�dia�pusr or uddon pur,�u�ne�a rh'sa�ecsioa i�pendir�g or addldenal dan on�he irodiv�civai has heen colfectcd or crcutnd.
<br /> 7'he neep�nalbld�utborlry��ill prov lde coplaR uf rha p�ivaea ar publlc dAe�upon nqueAc by�be indiviAaa sub,�,c�of�he dan�. 'I'hm reap�nsih►a uushoriry
<br /> may r�qutt'e the requosdng petynn to pmy eha ac;msl eoa�of matcinR, eer�ifying, �ttid+:tm�piling ths co¢'tes.
<br /> Th�nwpo�isla aud�ority sha11 comply im�nediazelp, If pu�aibl�, wflh rr►y e�quaat m+�ie pur+lanxt to tlrta sub�llv}�iun,ar wittYtn ffvm duys oP
<br /> the deu of rt�m roqueer,sxcl�tdind 9awnctayr,Sundays ar�d l.y�!halidays,if imraedioui complianan i:1 rlot.�ro��ibl4. 1f hm aannat�t�mply wlth fhe rcquest
<br /> witl�lt�that[lmo,ha�ha�l w inforsn tho irsclivldlunl,�d may have�n addkfo�l fSve duye wirhin which ui comply with tha requext,excladin�5��turcinys,
<br /> 5undays and I�Sm1 hoi{days.
<br /> Subd.4. �►adur•wMn dotu b not.eeurot�or eamplet�. Au i�ulivfduxl muY conaat dia accuraCy rn eompfetenets oP puhlin ar prYvace
<br /> �su�enncernin�hMmeiG ?o t�e[eita this right,an indi�•idval�hall ne►dfy in wrttlst�ths recpensibb���hot�ry dtserib4rle the natur�of�he diAAgxeem�nt.
<br /> 11►e rapan�ibls�w�hority fihsll wid►in J4 day�eieher: (,a,1 cott�ct th.drta�onnd D�be iifnc:curate oP ineompl�Ca artd 9Kblript t0 IMtlf}+pRSi YGC1�ftl11G4 nf
<br /> - inwcur►rwu or fnwmplete dat�, It�ctudNg rociplenm umn�rd hy ifu�ldlridwt:ar(b?no�lly s�e t�lvldual tt�at ho ballavaa �he data m Ds corroas. Qu�o
<br /> in diaFtu�a aMAll b�qlsclor�d unlY if she indiridual's statemenc��dtsuareetnelic it fiwludec! wirL�e discloRr.d dsta.
<br /> Th4 d.perminarion of dia ros�osssibE� Qu�horisy mxy be ippaalai pursuant t+� rhn provisions of[ha adminl�ctradve prncedure act relueir�6 to
<br /> cuates�ed cases, �
<br /> D�A P��A�Y ,�, 'V'�U SORY. �
<br /> Fs�aeoordsuz�e with 1VI.5. 13.04, 5ubd. 2, "Rig�ts ot�ubjeets of data"� we would like to irrfor�s you chac your rec{uest
<br /> f�oc� parmn oc IiCenge from lhE Clry of Orono or any of lta depRrtmen,ts may requirc you to feirnish oex�Cairt priva�e nr
<br /> «onf�dentl�l info.nnation.
<br /> You e�re n,otified'that:
<br /> 1. '�'ii��nfarmatiaa you furnish wi11 be used co dat�rmir�e your c�ualifiantion f.ar the pormit or lieens� requc�tecl.
<br /> 2. 'You ms�+ refUse co supply data, but retltsN Fnay r�quira that the Cicy cicny the p�rn�it ar 3[ccnsc.
<br /> 3, 'Tha infotmadon muty bm shared with orlaer local, state or feder�l agenciea tq the exunt necessnry �o proceas
<br /> the permlt or lf�r�ulo,
<br /> 4. T�your 'Requested permit or license requires C�ts�i] �ction to npprqve, some Ic►farmacic�n mfly become
<br /> publlc. .
<br /> S, � You have cert�ain righcs undor �C.S. 13.i�4 (availab'la upan requeat,) ta review pcivate dt�ta an your�elt.
<br /> 6, Your tl�ll t�ame i� requircri co proonss this ap�lication or permit.
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<br /> CS�y � 8ta�a Zip Phons
<br /> I undaKstand u�y riQht� as stated abov �
<br /> Si�n�n�n '
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