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CITY OF 0ti0wO i 6124730510 10/18/96 14:43 5 :03/03 N0:369 Sec.11.134 RIGHTS OF SUBJECTS OF DATA Subd, I. Type of data, The rights of individual/on whets the data is stored of to be itoreo shall be as se:forth in this section. Subd;Z. antertoatiots required to be civets iadividaat. Ali individual asked to supply private or confidential data concerning himself shall be lntotrrad of: (a)the purpose and intended use of the requested dant withtn the collecting hate agency,politica!subdivision, or statewide system; (b)whether he may refuse or is legally required to supply the requested data.(c)any known consequerce arising from his supplying or refusing*supply private or uuafidentiat date:and(d)the iderniry of other persons or entities authorized by state or federal law to receive the data. This requirement shatl not eppiy when an individual is asked to supply investigative data, pursuant to section 13.12. subdivision.I. to a law enforcement officer, laspagnissi ns of teeepce mai alae .he ronce segu;;rg.Q ands.(hi e¢diyisier. 'rs the :ndiv;dual income.tee ^oto. °t? Jr! lageastions instead of en those Cuero, Subd 3. Access to data by individual. Upon request to is-eapansitt'e authority,an individual shall be informed whether he is die subject of 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 stored private or public dao an individuals shall be shown the data without my c;narge to hen and,if he desires,shell be informed of the content and meanies or that data. After an individual has been shown the private data and informed of its meaning,the data need rust be disclosed to him for six mantis thereafter unless a dispute or action pursuant to this section is pending or additionai data or.the individual has been collected or created.! The responsible authority shall provide copies of the private or public data upon request by the individual subject of the tiara. The responsible authority may require the requesting per son to pay tete actual costs of making,cervi±ring, and compiling the copies. The responsible authi:riry 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 2nd legal holidays,if immediate-compliance is not possible. :flu cannot comply with the request 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. Sundays and legal holidays, Subd.4. Procedure when data Is not accurate or complete. An individual may cortesi the accuracy or completeness of public or psivete data concerning himself, To exercise this right,an individual shalt notify in writing the responsible authority describing the nature of the dfsa.greetnent. The responsible authority shall within 31)days either: (a)correct the data fond to he inaccurate or incomplete and attempt to notify past reseiplents of inaccurate or incomplete data, including recipients named by the individual:or(b)notify the cxtividua; that he believe*the data to be correct, Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. "tine determination of the responsible authority may he appealed pursuant to the provisions of the administrative procedure set relating to i2onteitad cases. IMTA egivACY 6DYISORY 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 informaton. 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 pub!lc. 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name ;s required to process this application or permit. First Middle Last Address S`5-3 9e3 C & s86� State Zip Phone City 1 understand my rights as stated above. ...IC ��.�. Signature