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TY OF ORONO 'm 6124730510 09/24/96 14:00 5 :03/03 NO:522 Sac.13.04 RIGHTS OF SUBJECTS OF DATA • Subd. 1. Type of date. The rights of individual on whom the data Isstoredor to be stood shall be u set forth in this section. Subd.1. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed oft (a)the purpose and intended use of the requested data within the collecting State agency, political subdivision,or statewide system: (b)whether he may refuse or is legally required to supply the requested data:(c)arty known consequence arising from his supplying or refuting to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law m receive the data. This requirement stall not apply when an individual Is asked to supply Investigative data,pursuant to section 13.82, subdivision S.to a law enforcement officer. II• •n t i al. r' v e rn,v •lace the o'ce 1.• ice under .t' s bdivi l t I e i •lvi•u l ' come • or • o...its ca. rebind intuucclons ipateatt of on tjtore fo�ug. Subd. 3. Access to data by Individual. Upon request to a responsible authority,an Individual shall be informed whether he Is the subject of stored data on individuals,and whither it is classified as public.private or confidential, Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and;if he desires.shall be informed of the content and meaning of that dant. After an individual has been shown the private data and informed of its meaning.the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of die private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of malting.certifying.and compiling the copies. The responsible authority shall comply immediately,if possible.with any request made pursuant to this subdivision,or within five days of the date of the request.excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. Ifte cannot comply with the request within that dine,he shall so inform the individual,and may have en additional five days within which to comply with the request,excluding Saturdays. Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compierenoss of public or private data concerning himself. To exercise this right.an indiWiduel shall notify in writing the responsible authority describing die nature of the disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of Inaccurate or Incomplete dere, including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute ahall be disclosed only if the individual's statement of disagreement Is Included with the disclosed data. The determination of the responsible authority may bo appealed pursuant to the provisions of the administradve procedure act relating to contested cases. • PATA PRIVACY APVISORY • • In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require-you to furnish certain private or confidential information, • You are notified that; 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data. but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. • 4. . If your requested permit or license requires Council action to approve, some information may become • public. 5. You have certain rights under M.S. 13,04 (available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. C pe . First Vi T\a . fin - . Q >> Ma Wellw q. 's_ �r .D y w Sam Zip Phone r • 1•u • rstand my righ stated above. Signature . .