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TY OF ORONO � 6�24730510 09/24/96 1�:00 (�7003l0� N0:522 <br /> . . . <br /> See.13.U4�IGR'1'S OF sUHJEC'[�OF DAT.a <br /> Subd. 1. �'ype of deta. `�'Re 118hts of iadividud ois Whom the da�is smred or to ba scocsd shall be as set fonh ln ehis seerian. <br /> Subd.2. I�Pormatiun roqudredlv 6a�Iv�n ladi@iduaL M(ndividurl nskad ta supply privace or oonfiden[ial data concarning 4itnaeifahall <br /> bs Intormed of; (t)d�e purpose ai�d intanded use aP the vequested d�ta withia ehe colleeeine�taie ageaay,potldcal aubdiYisian,or sntewide systnm: <br /> (mj whethar b�may raeUse or is legally tequired ee supply rhe�equessed data:{c)�y knour�consequeaee ariring from his eUpplytng or rotltsln8 W supply <br /> privaco or ceaflden[iat dHa;and(d)Ute idendcy o!nd�er personi or endries aurhodzed by su�e or tederai IAw�a reerive rhe dara. Tht�requiremenc shull <br /> not apply when an Individual is asked co suppiy in�esrigadve daQ,pursuan��o secdon 13.�2,subdivision S,to a law enforcement olPFcer. <br /> ,.� <br /> a cun��,��gn�r rzP revenue mo� al�ee the na�,ce re�uired urtder r�is subdiv�sictn in �fte indivldual ineome Pa7c ar oroosm u�;,rtE�ind <br /> --`� jnEuucdoni i�s xc�u!on�ieso lQr1e+�. �� <br /> SuDd.3. Arce�s to data by 6ndlvid�i. Upon rcquesc to a rczpnnsible auchotiry,en indivfdual shall be infornied whanc�r 6e b the s��dJect <br /> of awrod drra an individuals.ai�d wherttar ic is clissified as publi�,p�ivite or confldenrial. Upon 6is tl�rther rcques[,an individual who is�ho subjtet <br /> ot samd pri�ete or publlc da�a nn indtviduals slutt�e shoWn�he dan wi�hou�ae�y ohu�a w him nnd;if he deairea,ahefl be infonned af the w�itent <br /> ond m�aning of rh�e daru. Aher an individu�l ha9 been shoM+n rlfo pdwu dara and infomad of ir�me�ning.the dan nend cwrbe d(xclosed to him for <br /> ai:�onrhs ahereaEter urilei�s dispu�e or se�ion pursuanc m ohis seeeion e�pendine or addirionrl dara on the individual has been oollecred or erear�cl. <br /> 11�s tsspuruible authpdry d►�II pro�ide copia�f rhe privue or public daa upon requese by�he individual subjact of�e dua, The f�e�ponsible 2ut6ariry <br /> msy require r1►o reque�rin�pmrsen ro pay rhe aetual cas�s�f malctng,csrtif�inQ.end eompfliag rhe eopi�e. <br /> The respaneible au�oriry.shall comply immediataly, if possible,wi�h any requesc mede pursuant co�dis subdivision,or widsln fi�e day�of <br /> d�a d4te of ehe reyuesG excluding 9acutdays.Sundays and leg�L holldoys,iF immndlaca compllance is not po9sibk. If�he canno�somply wid��ha roquos� , <br /> wlthin thac clmo,he�hal)so inform eha lndividusl,and may ha�e an ad�lleional five daya wid�in which m compty wish the eequest,exe(uding S�atrdays. <br /> Sbnd�ye and le�wl hol(d�ye. , <br /> Subd.4. �toetdupe wh�e dnta is net oceurota or eomplate. An indlvi�iunl m�y con�su ihe accu�aay or complereno�a of publlc or priv�ce <br /> daa eoncorn�n`bimself. To exercise ihis right.an indi'viduel shall uo6fy in wridn��he responsble�uehudry daeziblog d►e nature of tho Alugreemcnc. . <br /> T'he eeap�nalble suthoriry sltell wid�in 30 days ei�her. (4)coerec�the dam Found�a ba inucunte or ineorr►ple[e and raempt te nodfy pnit reeiplencs oE <br /> inseeucote o�incarapiete dara, tnctudin�recipien�a named by dse individual;or(b)nofityr rhe indivitluat that he belleves tha dara m bo co�seee. Da�a <br /> ip ct�pute ahall be disclosad awly if the uuflvidusl's suamcnt�f disaqreemenr is includad with�ha diecloud dara. ' <br /> '�'he dotermination oP�he respansibla•au�horiry may bo appealed pursuani so vhe pm�isions ol ehe admtnisuadve pmeedure act relacina w <br /> wntested cases. , <br /> . ' DA'£A Pltl(YACY ADVI$ORY - � - <br /> !n accordance wi[h Ibf.S. 13.04,Sabd.2, "Righcs of suli]eccs of daca". we would like co infocm you that your requesc <br /> for a permit or licensa from the City of Orono or any of its departments may requlra you to furnish sertain private ur <br /> confidential information. � <br /> 'You are noti6ed thar. <br /> 1. The information you furnish will be used to decermine your qualificacion for the permic or iicense requos[ed. <br /> 2. You may refvse to suppiy daea. buc refusol may require that the City deny the permit or licc�tse. <br /> 3. The infdrmaiion may be shared wi�h othar local, state or fedetal agencies to che excent nccessary ro process <br /> the permic or license, � <br /> • 4. . If your requeeced pecmie or license requires Couucil aetion �o approve, some infarmat[an may become <br /> ' pubtis. <br /> 5. You have certa�n righcs under M.S. 13,04 (availabie upan request) to revicw private data on yourself. . <br /> 6 Yaur full n�ne 9s required co process_thls applieation or peanic. <br /> � c ��� , . . <br /> � <br /> . 't c �-- _-i_`,, le � --+�, � I.a:c <br /> 41 <br /> A � . , � � .�� � - s�- s�� � . <br /> ci� ' . - s�� z�� PhoRa <br /> i <br /> ' I•unde s and my righce as sca d ove. <br /> � . <br /> 8 atun: <br />