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Apr-18-02 09: 22A P•�3 <br /> . I�r-11-t002 03:19p� Fro�-CITY OF ORONO +l6Y21p/616 T-p/6 P.006/006 F-9t3 <br /> � � Sec.17.0a RIGlti3 O��{��S Oi Dw7'A <br /> 5ubd. 1. 7yp�ol data. Tlu�4thcs of indi.i�ni on whom tlie da�a is storod ot!o�e seored�ha110e a�set foc�h in d�is:eedon. <br /> Su6d.1. Watm�tiep�p be arp�6�Ai�idml. M ioOirldWl t'sked o0 <br /> ih�1U be infot�ned oF (a)�e pu�poie ted i�nded use of ibe rs �Y Ptivt�e ot ooididen6�l dwtt eoqcen�hieoself <br /> rys�em:A+)wl�e�her he nqr«fine or if k 1 9�+�ed dan wid�in tlu eolbai�soa�r.po�hk�1 medlr(sion.or sntewidc <br /> �eNtlry m suPP�Y V�vte�or c �b nWired ro aupply t�e nqne�rcd Aaa:(c)ar4'moau coneequenea uuirK fran Ns supplyitf(o� <br /> onfid�od�l d�a:oM t�die iaer�ry of odnr persoas cr eneid��u�orizea by aaee or�cdeAT IaW�s_c�eiw d�s daa. <br /> This req�inm�n�sh•ti�ron�pp1r whtn an individuv ia i�d b�r in�es�i�ulve dso1.p����on 13.a2,sypdivision S.oo i law <br /> tnforoement ottker. <br /> � i � � <br /> Subd.�. Acetst to dau by ladi�Wual. Ilpnn nquen a�a rriponsiWc�wlw�icy.�n in0irid�ui�1n1i be <br /> �thjecc et i0ercd d�on iidividwl�.��w�r ic is ela��p�ak.O��e or conC�ncal. Vpoe hit Ihrd�tr�ue�4p(�i i�sl wlsp <br /> Is�e sltbjeu of noted pria�or publi,.d�o ort i►�ividwls shW be tUown fie d�v widwuc�nY��ro ALn ond.if he desttes.shtll Ee ia�o►mcd <br /> of die eonatK snd meininr o1�ar dia. �ltbef an inQividwl AAc been shown�IK privau dss�nQ iefotqud Ot io mtonin=.�Qad nted aa be <br /> diulosed�o hiru br si:monms dierealFu uNe�s s dispua or�edon puqua�ro dvs neccbn�pe�or sd4idansl dau on d�.in�iripuat Ms betn <br /> colktad or cneNed. The rcsponti3la audwdb thall ptovide oopies ot the privaa o�publie dan upen rc <br /> ThC Rsponsibla a�dw�lb miyr t,Wite d�o�tqYesalls ptpOn m�y d,.unw�o:u or� 9�n by A+�indi�iduaf ap��ol du dan. <br /> 7T�e respae►s101s audrorip�s4sl!eompar;�4io�ly il M,eert;yin��and eompi4n�M eopip. <br /> ot d�e eaoe o�ON re Po++�(e,with.�r�quesc m�de pwn�nc w tt�is wbdlvitan.or wimin fiv�deys <br /> qu.n.exeludin���Ys.Sund�y�s�0lqal eolidey�.if;mnxeiarc eompliana is aor posn'6k. If M eaeuwc eaaply wi� <br /> me nqam wi�in Oa�tiene.M�11 so in�one�d�e inaivi0wi.and n�ay lo�a an�ddinen.l fl��d�ys witl�ln wblch ro eo+rp�y�rid�dr,r�sr_n. <br /> exctudirig Sanndays,Sund�ys�rd iqat hoiidays. <br /> Subd_4. Procedurs aheo dNa t�eet seeurat�er eaopUte. M indiridu�m.y eom�a dx�ceur�ay or eompk�eoeu ot pnDlle or <br /> priva�dan eonam6�hinudt. To e+crreise d�it r(���n inalridu��rMll rority In wrldn�the <br /> disuneasr�cnc 7T�s nspon+bl�w0a 10�P°����d dartrlbenj the esture o�the <br /> �ry slaU wltl+in 30 d�yt etdrce: (a)oomec�du da�s found ro De iwcauaoe or ixoeepleR�ad ae�empt��ily <br /> puc re:iFiann o!ineeura�e or 4rcon�le�4io.inctud+n=raipiar�u�u,m�d by du indi�idual�or(b)noo(y Oa bdividust dnc d�bslie.e�drc daeo <br /> m be eomet. Dara ia alspuro sh�Il bs diseloxd only if dro Mdi�idus!'�wtemenc af disun�emertt is ineluded�v�h yx disclosed dan. <br /> 21w deen+ai�fon ol ae nsppnsblo axtlae4Y nay De nppealed pursuant ra d�e provisions of rhe sAmiNnradve pror.aftt!e tet r_hcr,q <br /> w comcstid cases. <br /> � <br /> Ia accordaaee with M.S. 13.04, Subd. 2, "Righc�of subjeccs of daia"�we would lilce w iatocm you zhat your <br /> roquesc fo�a permic o�Ifcensa from rhe Cicy of Orono or any ot ics depanments may requin yeu�o �����«� <br /> privete or contldenti�l inform�tion. <br /> You�re no�itied cha�: <br /> 1. ?he ioformetion you fuuaisti wilt be wcd to detennine your qutlification for rhe permi� or license <br /> cequea[ed. <br /> ?. You msy refus�to supply data� but iefusal a�ay tequire that the City ckay du pecen;t ar license. <br /> 3. Tbe intorma�ioa may�:hued with ad�er la�l, s�a�e o�federal age�cfes w che excem neoeteuy co <br /> procas the permit or license. <br /> , �• If yaur requeseed permic or liaaue rcquir�s Council aecion to approve,soene information may becotne <br /> puDlic. <br /> 3• You have cenain ri�yndec M.S. 13.Oa(sv�apie�pon requesq to review p�vace data on yourself. <br /> 6• Yoar tutl aame is raq�ired to pcaess�his appliea�ion or petmu. <br /> � . � N phv. ,�. C Rww�Ee �E:s��F�s <br /> Firs� Middlt �� + �u=���Q3 <br /> L�u <br /> �`S o o L r.v n., �,y L7�T�,�. <br /> .�aansc -— <br /> �'a� ,.�.q- 5'sy 3 � 9s z_ �'s s -8yg�, <br /> G� '�—_-- E Z� <br /> Ptwne <br /> 1 unde mY ' s as stated <br /> si�ntou <br /> � <br /> 6 <br />