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Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.002/002 F-611 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual ask,d to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data avidin the collecting trate agency,political subdivision,or statewide system; (b)whether he may refuse or is legally required to supply the requested data (c)any known consequence arising(Mtn his supplying or refusing to supply private or connde:dal data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data._This requirement shall not apply when az individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5, to alaw enforcement officer. ate co -ssioner of revenue may 'lace the notice reejired under this subdivisio in the individual ' come tax or aroaertv tax refund instructions inste'_L of out[hose�rrs. Subd-3. access to data by individual. Upon request to a res`oasibie authority,an individual shall be informed whether he is the subject of scored data on individuals,and whether 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 hint and.if he desires,shah be informed of the content and meaning of that data. After an individual has been shown the private data and morn ed of its meaning.the dam need not be disclosed to him for six months theres:*.er unleSs a dispute or action pursuant to this section is rending or additional data on the individual has been collected or created. Theresponsible authority shall provide copies of the private or public data upon requas:by the individual subject of the data. The responsible authority may require die requesting person to pay the actual costs of making,ccr_'ging.and compiling the copies. The responsible authority shall comply immediately,if possibl=,with any request made pursuant to this subdivision,or within five days of the date of the rec_esc.excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that rime,i'a shall so inform the individual,and may have an 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 completeness of public or private dam concerning himself. To exercise this right,an individual shall notify is writing the responsible authority describing the nature of the disagremeut. 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 data, including recipients named by the individual;or(b) notify the individual that he believes the data to be correct. Data in dispute shall he disclosed only if the individual's statement of disagree.ant is included with the disclosed data. The de:ermination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act vetoing to contested cases. . • DATA PRrVACY ADVISORY In actor ince 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 deparzmentS may require you to furnish certain private or confidential i;-.formation. • 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. •• g. 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. r !Z� v i.k.Z+ l to $C, -e First _ Middle Last 5 [ Address I�1 1 y7 ,F 575e . Cy hone City State Zip P I understand y rig as state bove. ( ,11111i .> 4116 Signature