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Gac-14-1,�01 12:46pm From-CITY OF ORONO +9522494616 T-358 P.007/017 F-479 <br /> Sec.13.o� RiGHTS OF SUBJECTS OF DwTA <br /> Subd. 1. Type ot data. 1be righa of individusl on wh�m thc da�is stor�d or co be swrcd shall be as set forth in th�s secdon. <br /> Subd.2. InPorraation requlred to be g�ven fnd;vidusl, qn;ndiv;dual asked w supplr privacc or confidendal dan coneerning himself <br /> shall ba inlorrtKd oP: (a)d�e purposc and imcndcd use of[hc request:d ds�wirhin du collecung sm�e aIIency,polidcal sybd�visan,or sa�ewida <br /> sys�em;(b)Whedxr he may refusa or is tegally requirad ro supply mo requcs�ed dara;(c)any knnwn conscquence arising frara his supplying or <br /> "' rcfusinr re svpply privare or confldenoal da�;and(d)che idenriry oP nrher persans or enrities aurhori2ed by s�a or federal law tn receivc[he daa. <br /> This r=quiremen� shall nor apply when an individual is askcd�o sapply investigadve dau, pursttani to sec[ion 13,82, subdivision S, �o a law <br /> tnfarcement officer. <br /> �C COR1R115SIOIICT OP Rv[TN[TAV�I9G �F<����'P�P11 i�r�undet ehis subdivision in[h�i�di�idual inrnme nY n�.,.���ny���{�nd <br /> instrueciq i s ead oP en those ferm�. <br /> Subd. 3. Aecess to data 6y individual. Upon reques�co a responsible auchoriry,an ind;vidual shall be infoimLd wnc��her he is sf►c <br /> 9ubjeet of smrcd dara on individuals,and whecher ic is classified as public,privace or co�dendal. Upon his futiher requ�st,an�ndi�idtul Who <br /> is[he svbjec[oP s[ored pnva�or public da�on individuals shall be st,uwn�he da�a wi�hou�any ch�rge ro him and, if he desires,stxl�bc informcd <br /> of d+e conun�ac�d meaning of�hac dara_ qfcer an individual has be.:n shown rhe priva�e dan and inPormed of ia mcaning,�e dara nteE mt bt <br /> disclosed w him fo�six mon�hs thereafter unless a dispu�e ar scuon p�asvan�rn ehis sec6on is pending or addiaonal dara oa dx ipdiv(du�l has been <br /> collee��d or eroa�d. 'Ihz rc,ponsiblc autEwrity shall provide copies or d�e prrvate or public dam upon requcsc by ihe individua(snbject of d►e dan. <br /> The rasponsible auchoriry may reQuire�he Rquescing person w pay ihe acwal cosrs of making,cerrifying,and compiling�he eopies. <br /> The responu'bic suihoriry shall comply icamtdia�ly,if po�sible,wi�h any rcqucst made pursuan�co dtis svbdivi�ion,o�within tive days <br /> of�ha dace oP che request,excluding Sanudays, Sundays and legal l�otidays, iF immediaK comptiancc is ne�possible. If he caruio�comply wid� <br /> the rtqtest wi�hin�ha�nrrte,he shsll so infocm ihc individual,and[nay have an addicional feve days wid�in which w comply with Uie request, <br /> excluding Satu�days, Sundays and legsl holidays. <br /> $ubd.4. Procedure when dota fs eot nccurata or eumplete. An individual may conccst�e accuracy or complereaess of public or <br /> privata dan concerning himself. 'Co c�cttise d�is righ�, an individual shall no�ify in wriring�he responsibie audi�riq deseribing ehe oaa�rc of the <br /> disagre:cr.etu. The responsible su�hnriry shall wid�in 30 days either: (a)cortec�ihe dan fouM co be inaccurate or incomplex and aaempt m norify <br /> pac�ce�ipien�s of inucurace or incomplae dae,,including recipicn�s r,amed by fie individual;or(b)no6fy�e individual that he believes d�e daa <br /> co be correcc. Da�a ia dispuu shall be disclosed orily if�he irodi�ridual's s�ccmem of d'uagrcemrnt is included wirh�he discIosed daca. <br /> The datzrminaaon oF cfic responsble au[horiry may he appc�tad pursuanc w chc provisions of ihe admiaistntiv�p���re aet telaring <br /> w cont�stzd cases. <br /> DATA PRT't'ACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd. Z, "Righcs of subjecu of data", we would lil:e to inforru you rhat your <br /> request for a permit or license from �he�iry of Orone or any of iu departments may require you to fiunish certain <br /> privace or confidential informacion. <br /> Yoa are no[ified chac: <br /> 1. ?he informaaon you furnish will be u.ed co determine your qualification for the permic or licease <br /> requesced. <br /> ?. You may refuse to suppty daca, but refusal may require rha[rhe Ciry deny the permit or license. <br /> 3. The informa�ion may be shared with othcr local, state or federal agencies to �he extent necessary to <br /> process �he permit or license. <br /> =�. If your requesced permit or license requii�es Council action to approve, some inFocmation may become <br /> public. <br /> �. You have ceRain righcs under M.S. 13.0�(available upon request) to review private da�a on yourself. <br /> 6. Your full name is required to process [his application or permit. <br /> . �., <br /> F�rst ivtiaa�c Lasc <br /> rlddress <br /> '' / : � � _ C . __ - <br /> � C�ry Stara ZiP , Phonc '� <br /> I uadersrand,my ri�rs as stated above. <br /> . �` <br /> � <br /> � �� : <br /> Signanue <br /> � <br /> 6 <br />