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�a�-30-2�01 08:OOpn FromfilTY OF ORONO +p5224o4616 7-133 P.003/a0t F-��6 <br /> Sos.19.04 RiG}iTS OF 5U8J8C?S OF DJ�T�, <br /> 5ubd. l. '�ype oC data. 'The rlah�s of iodividw�l ea vritom tiu dan is swi[d or sa be uo�ad slf�ll be is aa�fotrh i¢t�is lOCaaa. <br /> Subd.Z. IaYortaafioa ceqttired W be�ivea iadivid�ml. Aa iad'rr':dusE asiced w supplY Pdv�u ar waddead�i dsa aoae�mios himsdf ahaL' <br /> 6e(aibrmed or {s)�ho pu�ose a�farecded ase of thc Rqaestod d�wi�ia tha eolteeaag bmto agasw�,p0iid�m►!lubdiris{oa,or sa►tawids�atam: <br /> fb)w6cdur he may celiue a�is te�atiy reqaieM to supp[y�he e�faxad daa:to)aaY�+owa raatequeoce atf�ia�itvm Ws s�pplyio;vr is�siag oe wpply <br /> . ptirsm ot aoe�fiduxist dsm:aed{d)���eority of orhar peusaas ora�s sud�araed!�y sare oc tedetsl l�w b ieCeive tM dan. 'fhis sequaemene shall <br /> eoc aDDiY.wkea�mdiridual i!�ukad w suPPiy inresq4eavc daa.Pur�aeas m aadv&13.$'_�.s�tbdividoo 3.to a law eafo�seasent oElicer. <br /> 'il�e commisstoner af revenue msx�l�e t�e eadee r�wired andar thI!sn^���'an Itt d't�' vidusl incemc ux or o�vuerc�eu rofuad <br /> insnuedens iutad e(en ehoa fonr�s. <br /> S�tbd.3. A�sw lo data by a�di.iduaJ. Upon�equ¢u 9�a ce�pombla wdsori�y.aa iAdiv�wl iLal[be infermed Whe�hnr be is�s subjecc <br /> of smesd dsn ae!adlvlduats,sad wDesher!t ta elassiRed as publte,grlvsu or eonhdandal, L'paa his fanhor re4uasc.aa iadiridw;wYw�tlw aubjuce <br /> oi s�o�ed pei�ate ar puhlie dav oa iadividu��haU be sbowa�pe dsn wi�houc any d�arte oa htm aad:l!he dasires.�ha1t bo infamaed of thc caaieas <br /> �ad mesaing of th�t ders. ARnr aa iwiivtduai hrs baea sko�►tha privi�r dan sad Wo:mnd af ies se�alag.tkre data aeed me bn aiselos�d m hlm fo: <br /> six mon��resflnr ml�ss a di�u�a ar sedon p�t�arj�w dtis ucdon u peodia;oe widi�onai dan oo rt�a iod:vid�s�hss been coAected o�crea�d. <br /> Tht resFonslble�choriry shatt pravida eopits oPrhe pciwa�s or Duhlic daa upea_equas�by dte iacttvidual subj�oEshe dxa. 'Ixe taspoasiblo audwiiry <br /> �Y+�4����Da P�esan w pay tlu aeaml wss af m�khar.oGmly+i�8.and eamyaia� �he copies. co thl�subdlvislase,oe w1Wln Plve days af <br /> ?Fb raspen9�bl�aushority shal!eemply imaudiruty.if poasbie,with any roqe►est maQa puesu�tn <br /> tho daie of rba requeas,cxciudia;Saaud.ya,Sundays�ad k�si holidsyi.it nemediaoe ao�nplliae�ia aoc 8e�ible. If he aaaoe eomply wi�rhe sequeu <br /> wtdato duc ome.he abaII sv ir�tarsa dK indiriduai.and�ay have so addicoaot Bve days vriedm whieb w vomply wi��r taquasy ezsluditig Ssurdayc, <br /> Sua4ays ind kgy Aatld�ys. <br /> BuLd.4.•�'tocadur.�en data ir aot��^��cn or ecmptetR. An'adiriduai fa�y coaase she aeenney or eac�pieceaass of p�fbiic or prira� <br /> dam coneerain�himselt. To a�ccrciu th�s rirtu,su i�iridual shatl aodry in wadag eha resposa�ble sutlmriry daserfbiq�dt.oaesre ol du die�eeemeu� <br /> 'Itte sefpo�sibk Sutho�lcy shlp wirhia 36 days either. (a�eoeYeei rbt date lonnd w ba laacr�s�c or�oc�plex ard�aemps oo nodfy p�ac reaipiems ef <br /> ieuccar►te o�insompt�a dau�,i�ctudtng�cipieaa namnd by ehe iadivldnat:or(b)r.odty dte fedlvldnal dat ha 6elieves the dam ro be corteat. Dara <br /> ia dispttm shil!b�di�olQaad eniy if tba indiridu�l'e sta�ams�tt of di�gteemnae ia�nduded wftb t�disclosed dau. <br /> '!ha deRra�laadva oE cice�cspansibta aud�oriq amy be�ppealed purluoa�a s�e poovisians of d�adnairssesdv�procedaK act�eLtaag ee , <br /> eaaeesaed uases_ <br /> �ATA PRxVACY ADYiSO� <br /> Ia acco:flanee wich M.S. 13.04,Subd.2, "Righcs of subjec�s of d�ta".we wpuld lik�co inform yau+.hat yeur rtques: <br /> fot a permit or licease from the City oF Orono or aaY of its deps�zcaiea�s may requit'e you co futnish cer�ain prir+ase ar <br /> confiQentia! infocz�tioa. � <br /> You�re aotified tltat: <br /> 1. The infortnatioa you turnish will be used to decermi,ae your qualification fer thc permie or licease raquested. <br /> 2. You m�y refuse to supply dmta. buc refusal m;y requice that the Ciry deqy the pec�ii�ot lieeasa. <br /> 3. The iafo�raarion rvay be s�Aced with 4�her local,state or federal agencta ta tb,e axtent aecessary to process <br /> tbe pera�it or Iicenae. <br /> 4, Il your requasted permit or licease requirea Couacil actioa to apgmva, some iafcrmatiou msy become <br /> public. <br /> S. You have eenaia rights under M.S. 13.04 (available apoa request) co xeview privace c�,aca on yourself. <br /> 6. Your full tu�e is required co process this app:icacion or peimit, <br /> Craig T. Sulentic <br /> Fir�c M��r �t <br /> 7100 Medicine <br /> Address <br /> 763-544-4131 <br /> C�, 9nre �ip Phone <br /> I underst�,d my nghcs as s�uod abor•e, <br /> $i�Ma <br />