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JU (218 23:38 FROM: TO:9522494616 P:2'2
<br /> Jul 8-2008 10:43am From-CITY OF ORONO +952249461fi T-746 P.003J0)3 F-751
<br /> Sce.13.04 RIGHTS OF SUBJECTS OF DATA
<br /> Subd.1. Type of data. The rides of individual on whom the data is stored or to be stored shall be as sei forth ill Utl,S c(:iipn
<br /> Subd.2. Information required to be given individual, An individual asked to supply private of confidential,Jars urn• rq;ng himself shalt be
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<br /> informed ore (a)the purpose and intended use of the requested data within the collecting rrAre agency,political subdivision,or statetvide system;(h)
<br /> whether he rttay refuse of is legally required to supply the requested data;(c)any known consequence.arising from hie supplying or refusing re supply
<br /> privete or confidential dain;and(d)the identity of other persons or cntltiet nuthatized bysteie or federal law to receive(he data. This rcgtrirgment sham
<br /> not apply when en individual 1s asked to supply investigativo data,pursuant to section 13,A2 subdivilion S,to a law enftrcemen:officer.
<br /> The cntrtmiesiontr_af reeve je izt inindividual,jncprne lay or pammiliK4furAl
<br /> i➢attucsioi1F iActesd of eta those forms,
<br /> Subd,3, Access to data by individual Upon requesere a responsible authority,an individual ehall be informed whether he is the sebjectof
<br /> stored data on indiriduale,crud whether ii,is classified as publ ic,private orcontidential. Upon his further request,an,rid ividu;ii who is the subject of
<br /> scored private,or public data on individuals vial.be shown the dem without any charge to him and,if he desirea shall be informed of the content and
<br /> manning of that data, After en individual has been shown the private date and informed of its mear.irg,the data need not be diec:lpeed to him for six
<br /> menthe thereafter unless d dispute or action pursuant to this sectierl is pending or additional dela tier the individual has been collected or created Tie
<br /> responsible authority shell provide copies of the Ovine or publie dale upon request by the individual subject of Vie deem, The responsible authority
<br /> may require the requeeting person to pay the actual eons of making,cer tifyine,and camp iline the copiee.
<br /> The responsible authority shall comply immediately,if possible,with any request made pursuant to this aurid ivision,or within five days of
<br /> Me dun of the request,excluding Saturdays,5undoys and lege]holidays,if immediate coinpi Jane I;:nor.possible. lfhe cannot cumply with the request
<br /> within that time,he shall so inform the individual,and may have an additional ve days w ithih which to comply with the:request,excluding Snturd'nn
<br /> Sumdnys and legal holidays,
<br /> Subd,4. P7oceriuee when dAta is Th0t5ceuOte or complete.An individual may contest the accure.cy urcontp]eueriessofpublisorprivate dew.
<br /> enflaming himself To ore vise this right,an individual shall notify in writing the responelble atthnricy describingthe nature of the disagreement The
<br /> responsible authority shall within 30 days either: (a)correct the dam found so be inaccurate or incomplete and artempi to notify peel re;it write of
<br /> Inaecumtre or incomplete data,including recipionm named by the individual;0f(b)notify the individual thee he believe the data co he correct. Detain
<br /> dispute shall be disclosed only if the individual's statement of disagreement is included with the dieelosed data.
<br /> The determination of the reaponaiblc authority may be appealed purl sant to the provisions of the edmihitr give procedure set relating eo
<br /> contested cases.
<br /> DATA PRIVACY ADVISORY
<br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to i11ft'rm you that your request
<br /> for permit or license from the Cry of Orono or any of its departments may require you to furnish certain private or
<br /> confidential information.
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<br /> You are notified that;
<br /> The information you fllraish will be used to determine your qualification fur the permit or license
<br /> requested.
<br /> 2. You may refuse to supply data,but refusal may require that the City deny the permit or Iicense.
<br /> 3. The information may be shared with other local, state or federal agencies to the extent necessary to
<br /> process the permit or license.
<br /> 4. If your requested permit or license requires Council action to approve, some information may become
<br /> public.
<br /> S• You have certain rights under M.S. I3-04(available upon request)to review pi ivate data on yourself.
<br /> 6. Your full name is required to process this application or permit.
<br /> First Middle _.._
<br /> Lays
<br /> Addreaa - -_
<br /> City State
<br /> Zip Phone
<br /> 1-understand my rights as stated above. r
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