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CiTY �F ORONO � 6122494616 08/31/99 10:21 � :03/03 N0:428
<br /> See,19,04 RIGHT6 UF SUBJECT3 OF DATA
<br /> 5ubA. 1, 'I�p�of drto. The rlghrs oP individual on wnom ihe dara is s�nrrJ or w he su,red ehall be u�ae[fonh in rhis secdon.
<br /> Subd.2. InformWon requlr�d to be�Jvrn lodivldual. M;ndividwl asked�n dupply privqt�or confidential datn concomkny himself
<br /> ehell be infbrmsd of: {a)�e yurpoen and Luaded uae oP tho requas�d c�ata wifiin d�e callecu��g erx�e agency,polldcal subdlvision,or Atatcwide
<br /> 9ysoem;{b)wluther ho may refuae�r iy le�ally requinA ro supply the t�quested do�;(c)any known cr�c�aequence�rlsing from hls supplying or
<br /> reNsing to ropply privam or eonP,dcntial dae�;erd�dl rhe idcndry oP othcr persoru or enuoes authorizeei by slatr,or Pederei!aw tu recelve the dat�.
<br /> Thl� requireatent ahall not apply whon an Individu�l is �sked to euppiy invearigedve dau, purAuam rn acction l3.N2, sub�llv[sion S, to a law
<br /> cnforcamcnt officer.
<br /> '�+,,,,�c�ur�.�ei��r of royqrn�n�av c�!aee Lhs ro�Ge ien�;i d �nd r�a� ivl lon in he lndlyjd�el'�oma x or oZgpertv tak�j{�
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<br /> Subd. 3. Accer�to d.ta by IndlvJdual. Upon requcst to e res,�onaible.uehoriry, an i�tdividue)ohall be Infuimed wAather he is tAe
<br /> eubJect of smrod dais on individusle, and whedter it is classlfled ae puDlic,private or confiden�ial. lJpon hlx fi�rther requesi,an lndlvldual wLo
<br /> is du aubjact of atoraJ pr�vaae ur piblfc dota on indlviduol9 sltall be shown the dota wirhuuc any ohar�e w him arul, 1/he�esires, Rhall be informed
<br /> of the coruent end meuniry;of that data. After an individual has heen shown tho privace du�u and informed uP its meaning,the dou need noc lx
<br /> diaclosed fn him for Aiz tfumdu thercatter uNeas e digputo or eccion pursurr,c w rh►s sectkm la pzniing oe uildida�nl dem on che indivldual has bern
<br /> o�llecoed or craaomcl. Tha aspopalAle sudwrity shell pr�vida copies of thc privum or pu6Ue duta upm reyuest by ehe lndividunl subject of tho ciata.
<br /> '1?ie rospuneiblo aurhority rt�y raqulre the requesein�porsun to pay�c ectt�al cosw oP muking,�eruMying,end compfling the coples,
<br /> 1?�a reeponeibk authorky ehall compty imtnedistaly,if pveaible,widt irry roquos�ma�pursuanc to this eubdlvlslon,oc w(thin flve days
<br /> a(the dota ot tl�e roques[,eacfuding Sanirdeys,Suncleye ard legel hol(dQys,if Immediata compliaocc is rux pc�,aAlhle. IP he cannot comply wltlt
<br /> the roquest wichin thet�imo,he �hap so inform dm indlvtefu�l,and�nay have an eddi[ional five days within whlch m comptr u�{��e requese,
<br /> ezcluding Seturdays, Sundays atd le�al holidays.
<br /> 3ubd.4, procedute whea data!e not wecurate or eumplete. An lndividual may u�ntes�die accuracy or completenese oP public or
<br /> pdvsce dam concerning himeelf. Tu cxereiae�hla riYht,an indfvidual shall ru�ri(�in wrltinp the res�xm�iblo authority de9t;rlbiny the naNra oP the
<br /> dl9agt�ement, 11fe rosponsibla auctwrity sluill wlthltt 30 days eitlur. (r)u►rnst Che deta fwnd to ba inacwrata or lrr:amplote and attwmpt w nodfy
<br /> peat ceclplenet ol inaecureoo ar incomplooa data,ineluding reciplonts namnd by the Indivldual;or(b)nodf�j rho indivldual thac he believee the da�a
<br /> to be carrect. Uat�in dispuoe sitall be dixalused only 1f tha Indlvlduat'e etatement of disrgroement is inctuded with dic disclos�td da[a.
<br /> 11u determine000 at dic reaponafble authoda mey be appeelsd purs��ant to�ba provisione oP the adminl9trative prc�cedure act rclating
<br /> to cunteerod cases.
<br /> �ATA r�ACY aiDYISpAY
<br /> 1n accordanc� wi[h M.S, 13.04, Subd. 2, "Ri�hts of subjects of da[a", we would like to info�m you that your
<br /> request for a permit or l�cense from the Gity of Orono or any of its depHrtmcnts may require you to fumish certain
<br /> private or confidential information.
<br /> You are notifled that: �
<br /> 1. The intormatlon you furnish will be used to determine your quallficatlon for the permi[ or license
<br /> requested.
<br /> 2. You may refuae to supply date, but refuea( may �oquire that the City deny [he permit or license.
<br /> 3. ?he information may be shaeed with nther local, �rate ur federal agencies tu the exeent necessary to
<br /> procoss tbe permi�or license.
<br /> 4, If your requested permit or license requires Council actioti co apyrove, somo inforrriatian may become
<br /> publlc.
<br /> 5. You have certain ri�ts undcr M,S. 13.(?4(aveilablc upon requcst) to review private data Qn yoursclf.
<br /> 6. Your full aame is required to proceas this ap�lic�tion or perm3c.
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<br /> City � 9rate 7.ip Phone
<br /> I underetand my right� a��tated abovc.
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