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<br /> Sec.13.0�:RIGfITS OF SL'B.JECTS OF D:1TA �
<br /> Subd. :. Tvpe of�ta. 1?m nc?7cs of iadividual on whon�he dat�a irorcd cr to be sto2d iha;l be ai set(0.^,.7 m chis se[aon.
<br /> Subd.'_. Information required to be�ven iedi.idual. .�1n individual asked to supply pnvam or tonfidendal d�n cor.ctming hinself 51u11
<br /> be intortned of: (a)the purpose and incended use c��he _cues�cd dan wi�hm the coliecnng Yv�e agency,poliocal sublivision,or sa:ewide svsum:
<br /> lb)whethtt h:may r_P�se or is I^ealh�requi:ed eo supply the roquested d�ca:(c)anv A.�ou^�couequenc �risin¢fror.,his supplvNQ or reF�smg ro suppiy
<br /> pen�ate or tontiden;ial Cata:ar.d(d)e,he ider.un�of ed!er pe:sons or en;ices au�honzed by sa,e or.':den..�w co r_cei��e che daca. This requiremrne shil!
<br /> noe apply when ar,indi�idual is asked to suppir inva�eao+e dati.pursuane to s:c::on!].83.sutdivision S,eo a law e:dor�emenc oKar.
<br /> The cor..missinnrr nf rn•erue -�c ^I�c:tF.:^or.a � �ed un�'e•ch�c s�h��vision in ttie individual i^eore nc n-^�ope^^+�z •e`i.�rd
<br /> initrvetions msteaC oc or,Nose(or^ia.
<br /> Subd.3. Access to data by indi.idual. Upon requesc m a responsibi:authonr:,in ir.drviduil shall be in,`orr,ied��hethr,he is Ne suDj^_ct
<br /> o!stord dan or.mdi��iduals,and wh:ther i;is dassified as public,pr,va:e or conrid:a.^.al. Cpo�his fu:.her reques:,an iadividual w�ho is che subje::
<br /> of stered pm•aee or public dau en ir.di.iduals shail be sF.own c5e daci v.ichouc�ny charge eo hin and,if he d^.sires.shal!be in:er.ned of ehe:onan;
<br /> and mtanin¢o([hat d�u. Af:^an individual has bern Show�r,�e private da3 and in:omed of ia meani.:¢,d;e dan need not be duclosed[o him for
<br /> � si�mon[hs c.ereaner unless a Cispute or a.cion rursuant to�4is Secaon`,pendir.r or a;d�:ional dau on the mCi�•idual has been collee•.ed or t:-aced.
<br /> �g�x� �c" , .. The rciponsibie�c�honn s^ali provide copies of�tie pnvate or public dac.cpon;equ^.s:^y c.he:r.dividual subject of[he dan. The resp^.�s�ble auc.horiry
<br /> �k°I,�. �d' �i5+;. �� may require the r:qu:s.in¢p:rson to p�y the actual coses ot cakmc,ce.t;f}me.±:�d compi!^x cne cop:es.
<br /> a?��+��{ ��'' -�;�"-'+ 7?ie r:s�orsible ac;.hency s:�ail to:^oh•cnmediateiy,•f pozsiole,with a:.y rcquest maAe punuant to[his ivbdn�ision,or within tive days o(
<br /> >n'�' .j '!'%: �'�;. :he dzee cf;Sa reques;.acdedmc Sa:u:Cays.Sund�vs and:egal holiday s.�(immediuc comcLar.r_is not possible. If he cannot comoly wieh the r_qutsc
<br /> �'�'�� wi�hin tha[ur.ie.he shall so intorm:he i�di.��dua:.and .r,ay have an addic�n�l fi�e aays wrhir,wh;ch:o cor..piv u�icl::he rcqc_se,et:Iuding San;tCavs.
<br /> �,<: � .,. � Sundays and;eeal holid�ys.
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<br /> �""���zs� „i, ` �� Subd.». Procedure W�hen data is not aceurate or complete. Ai inCi��idaal ma��con:es;d:e accuracv or comple[eness of pu�lic orpn.�att
<br /> '�'� x�����'� dac�conamir.g hir..sdL To e�e:nse chis rieht,an i�di�•�dual shal!noah•��annr.¢ehe r.spor.sible aochoncy des:nbin¢the r.amr_o(che dis�grc:mrn:.
<br /> �`���'�� ,� �37,��. The responsible auehonry sh�tl u i!hir.=0 Gaps ei�h:;: (a)correct the dau(our.d[o be inaccurstt or incomplett and aaempt ro norh•pasc retipi:ass eC
<br /> � � }��+���'4�� inac.urate or mcomp!e:e daea,ineluCin¢recipmncs named by ehe indi�idual:or(b)noufy�he individual tha[he believes ehe d�n to be wrrect. Dan
<br /> a `� �r ; in dispute shall be disclosed onl��i(Ne indrvidual's s:ateme�;of disacrcer..en[is i�cluCed u�ith rhe disclosed daa.
<br /> �i�m��� ''��;. �, The de�er.nin�uon oi�tiz rs�or.siblc au:honn�ma��be appeaied pursuant[o�he pro�isions of Ne adr.unise�ri.•e proeedum ae[r,ladng[o
<br /> k�� conmsted cases.
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<br /> �"'�r�� DAT.-1 PRI�'AC�'AD�"ISOR�'
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<br /> � Yv�FTF �, : ,�., � In accordance «•i�h�I.S. 13.Od,Subd.?. "Ri�hts of subjec:s of da�a",w•e«•ould like to inform you L�a[your:eaues[
<br /> �r c�� �r;��� for�pem:it or license from the Cicy of Orono or�z��o[its dep�nmer.:s mav require ��ou to fi:rnish certain pri��a[e or
<br /> � � coofiden�ial in,`orrna[ior..
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<br /> �'��� You are ao[ified [ha[:
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<br /> e' .. 1. The inforrnation qou fumish u�ilf be used ro de�ermine�•our qualiiicuion for�he permic or license requested.
<br /> �;;�. 2. 1'ou ma}• refuse to suppl}�data, but refusal rsay rcquire that the CiR• deny the permi� or license.
<br /> s,;; 3. The informa[ion:nay be shared with o[ber local,s�a�e or federal aoencies to[he uten:necessary to process
<br /> the perznit or license.
<br /> 4. If��our requested permic or license reqnires Couacil ac[ion ro appro��e, some iaformacion may become
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<br /> � „' ��,h`� public.
<br /> I�h�+ � �� i 5. You have cenain righ[s under M.S. 13.04 (available upon requa[) to review private data on yourself.
<br /> �t'?�� ,��� 6. Your full name is required ro process this applicatio❑ or permi[.
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<br /> "Nw k `,,�r � R hland Center WI 81 (608 647-2628
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