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SEP. 12'. 2008 11 : 02AM CASHWISE SUPPLY INC NO. 527 P. 3/6 <br /> Sec13.04 III :11i';,Ia:'u SI ,:•91', :l'coFDATA <br /> 1 r '1'yp,oirl,ua 'I he rights of individual on whom the data is stored or to be stored shall be as sot'b' .1 in this section. <br /> : a d It:'i.)nhun.,rreq+nred to be given individual.An individual asked to supply private orconfiidentialdant o-learning himself shall he <br /> inform gl or t r,I,•l!.tt,r..•,ii-Al intended use of the requested data within the collectins state agency,political subdiv 3.n'1,or statewide system;(b) <br /> wheat;tier•a,,re:...sr:nr is lop,Ilts.r 01 ai red to supply the requested data.;(c)any known consequence arising from rite sot,'1 ly ing or refusingto supply <br /> private cc col 1 i',:,1 oil ile(.a,41 nd,ii)the identity of other persons or entities authorized by state or federal law to receive to rt st r..This requirement shall <br /> not 11)0,1'Ali:I,a" PIL I vidw1 1'.r^;Iced to supply investigative data,pursuant to section 13.82,subdivision 5,to a low:elbrcement officer. <br /> J;1...,1 r-:11,sr nla e.9 a-.kgllV jnav place The gptice required=LE this subdivizig the i ual incr. ` <br /> u•_ta 4 rntoacrty tax refua <br /> instlysm:.Lr a,l:i L:,:,‘vi ih:cp.:limns <br /> i r it:...,:l.,l0ca,abyindividual.Upon request to a responsible authorityan individual shall be infrom,nit vhether he is the subject Of <br /> stor,:d dt,Gl:•1 i d t ;;:s I!,,an/ ,vile.hcr it is classified as public,private or confidential. Upon his further request,an ii d idual who is the subject,rf <br /> stor,:d Dr IN Ell 1:r.,40,t,ika en lido/ithials shall be shown the data without any charge to him and,if he desires,stir;It I r.Irformed ofthe content and <br /> meaning,o.l I c.;;I;I: .'i i;rr.s: till;vide al has been shovun the private data and Informed of its meaning,the data need vvi a disclosed to him for six <br /> mor thii titan:a a.r u•d,I<.r c •:r,i l...or:.cl:on pursuant to this section is pending or additional data on the individual his J11:111 collected or created, The <br /> respon 3i"lie t+,ho,it y :t;II„io ,rte conies of the private or public data upon request by the individual subjett of rho d Ila, The responsible authority <br /> naay reglad r:it,Ill:,ii i 1:42,pers,ln to nay the actual costs of making,certifying,and compiling the copies. <br /> r t• c'I`tl:,,.Is'u:,i":aly shall comply immediately,if possible,with any requestmade pursuant to this subdivi slim,or within five days of <br /> the dat,of Ii i i Ili w' . ::_l,,a;m,-,;,.,,uul.rys,Sundays and legalholidays,if immediate compliance isnot possible.I'he,air of comply with thc request <br /> wid•in tFal i i-1 h;';h,I • ---In the individual,and may have an additional live days within which tocomply wiah th,•r,i urt,ea:eludingSatiadayt, <br /> Sun dams an: I I i r:,Irl.:y4 <br /> I•t - I. •:.:dl:rt'.,..CIIilaiaisnot accurate orcamplete.An individual may contesttheaccuracy orcomplctor iuiofpublicorprivate data <br /> conceriiriti,li1 ,,..:1 •iorcai•;::r,hi;,right,an individual shall notify inwriting the responsibleauthoritycescribinglhen:ouaofthedisagreemenLTile <br /> rcsponsi'hi^a Ire iii sia;iit,.c-,;nn !()days either: (a)correct the data found to be inaccurate or incomplete and kitten p.10 notify past recipients elf <br /> inac•ante n i i.a r.1 . ;'ail, udnu;recipients named by the individual;or(b)notify the individual that he believe,the data to be correct,Data in <br /> dispute F11.1 I 1 d 31 11!v:.'c ii I. •14ht 111dividual's statement of disagreement is included with the disclosed data, <br /> 'I'a -i:l.•rn,-, :1J:(1,i''Ite i csponsible authority may be appealed pursuant to the provisions of the admi nista ti is procedure act relating 1p <br /> contested e.•1 t <br /> DATA PRIVACY ADVISORY <br /> lit di: t:t.a 1 CO 'Ni i'r ,'i„i. i 104,Subd.2,"Rights ofsubjects of data",we would like to infcrrn you thatyour•request <br /> for a perm i ii ;icr>gSc-f';~.-r the City of Orono or any of its departments may require you to hiriiish certain private or <br /> ' cot,fliicnr I r';,-0i-'tia':'. <br /> Ir-cat ; ii.:l.,i.:c .I,!;, <br /> 1, "Iii:. iniir:lls:ion you furnish will be used to cteterrnine your qualification f:•r the permit or license <br /> 2, ' i in;, •,:";;a to supply data,but refusal may require that the City deny the h,e •rnit or license. <br /> 3. 'Ili. in:r,•+ru:iti+.>n may be shared with other local, state or federal agencies to illi: extent necessary to <br /> I':'rYCC1PZ t( t :Virrnit or license. <br /> ' 4. Ii'i'y. ir re;;u,sted permit or license requires Council action to approve,some irfcii'tnation may become <br /> l/I,'II,c. <br /> 5, 1;'tali hay:: :(221,irt rights underM,S, 13.04(avaitable upon request)to review pciw,lte data on yourself. <br /> 6. Yc 2ur s iu.l:u!ne is required to process this application or permit. <br /> IA 1 e A e;,' ti-ren4 e _ , <br /> .... <br /> F ire: Middle Last <br /> Add' I I — <br /> Crepr State Zip Phone , <br /> It to mi eir;4[1. ..1:n;f r ih I ,,s mated above. <br /> ignaitu•ce !? .........._ ...........___,...—....pP-- <br /> _ — _— <br /> I' i 1 :I,� . 1.I••• .'2 ' <br /> ` t <br />