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02/07/2005 19:34 9529411160 JLM LANDSCAPE LLC PAGE 06 <br /> Set.13.0+1 RIGHTS OF SUWlrCTS OF DATA <br /> 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. <br /> Subd.2, Information requiredto be given individual.An individual asked tosupplypdvateorconfidentialdam wnceminghimsclfshallbe <br /> infotmcd of (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) <br /> whether he may refuse or is legal ly required to supply the requested data;(e)any known consequence arising from his suppVng or refusing to supply <br /> private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data.This requirement shall <br /> not apply when an individual is asked to supply investigative data.pursuant to section 13.82,subdivision 5,to a law enforcement Mew. <br /> The commissioner of revenue may niece the notice rewired under this subdivision in the individual income tax or nronerty tax refund <br /> instructions instead of on those forma, <br /> Subd 3.Acccsato data by individual.Upon request to a responsible authority.an individual shall be informed whetherhe is the subject of <br /> stored data on individuals,and whether it is classified as public,private or confidential.Upon his further request,an individual who is the subject of <br /> stored private or public data on individuals shall be shoran the data without any charge to him and,if he desires.shall be informed ofthc content and <br /> meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six <br /> months thereafter unless a dispute or action pursuant to this section is pending or additional data an the individual ham been collected or created. The <br /> responsible authority shall provide copies of the private or public data upon request by the individual subject of the dais. The responsible authority <br /> may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. <br /> The roaponsible authority shall comply immediately,if possible,with any request made pursuentto this subdivision,orwithin five days of <br /> the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance ianot possible.If he cannot comply with the request <br /> within that time,he shall so inform the individual.and may have an additional five days within which to comply with the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd,d, Procedure when data!anot accurate orcomplete.An individual way contest the accuracy or completeness ofpublieorprivotedata <br /> concerning himself.To exercise this right,an individual shall notify in writing the nzpmuiblc authority describing the nature oftha disagreement The <br /> respansIble authority shall within 30 days either; (a)correct the data found to be inaccurate or incomplete and saempt to notify past recipients of <br /> inaccurate or incomplete data,including remploots named by the individual:or(b)notify the individual that he believes the data to be correct. Data in <br /> dispute shall be disclosed only ifthc individual's statement of disagreement is included with the disclosed data. <br /> The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to <br /> contested caeca. <br /> DATA PRIVACY ADV_IS_ORJC <br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential Wbrmation. <br /> You arc notified that: <br /> 1. The information you furnish will be used to determine your qualification for 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 license. <br /> 3. The infoTTnation 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 cettzin rights under M.S. 13.04(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process this application or permit <br /> (� -LIC�CIr r?OA -1 <br /> First Middle Last <br /> Address lij <br /> City <br /> Stato Zap Phone <br /> I understand my rights as stated above. <br /> Signature <br /> 32 <br />