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i ��*23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 003/003 F-617 <br /> � . , <br /> � <br /> Sr.S3.Q�RIGH'TS OF SC�BJEC'TS OF DATA <br /> Subd. I. Type of data. The righu of individuat on whow she d�a is sioird or co be s�ored shali bc as scc forrh in this secdon. <br /> Subd.3. Informatiaa req�rired ta be givea individual. ,�,i individual asL•td W supply priva¢or confidenoal datt conccraing hirnsclf shall <br /> be informed of: (a)thc pvrpose and intended use oP�e requesred d3�wi�in dic eollecang rcace agcney,poliucal subdi�isiou,or smtewide sysrem; <br /> !b)w3cther he rtlsy refusc ot is 1cgaUy rcquircd to supp2y 1ht rsqucsmd�an;(c)any l�own consequenee arising fivm his sugpiywg or refusing�o svppiy <br /> privau or coaridenaal dan;and{d}�he idenury of orher persons or cnAaes authorized by scau or fcdcral!aw to receive�he data. 'ihis requiremcn�shsIl <br /> no��pply wh¢n an individual is ssl•ed io supply invmsrigadve dsa,pursuanc to secrioa 13.8?,subdivision 5, co a!aw anforcemeac o�cer. <br /> 'fhe commissioner of_ a�'enue mav �lacc chc nooce reauirr.! undet this subdivision in d1e indivldetal income �x or aropem tax refund <br /> instcuetions inSTea of on chose Porms. <br /> Subd.3, Access to data by individuaL Upon rrqucsc to a resporsible au�horiq�,an individual shall be infocmed wberher he is che svbjecc <br /> of swred dara on individu�Is,and Whcdu�iz is cfassificd as public,pnvace or eonfidendal. Upon his f�:rcher r�qucst,an uadividual who is the subjec� <br /> oF srored pdvate or pabiic data oA individuals shall be sh�wn the dan.wirhouc any charge[o him and;if he desires,sbaII be informed of[hc contenc <br /> and tnCaning ot�ha�dsa. Afur an individuai has brea shown the priv;,m dara and infocined of irs mea:.iog,che dau aeed not be disclosed w hL�n for <br /> six utonchs dureaher unlcss n dispute or acr.on pursuan<<o this secacn is pcnding or addidonal dau on�he individual 6as becn collcctcd or croa�ed. <br /> The rtsponsible auchoriry sha[I pro�ide copieS oP the priva�e or pubii:aaa upon r�quac hy be individuaJ subject of the dara. The responsible suthoriry <br /> may require[he requesdng parsOn so psy d�e auual cosrs of mal�sg, ecro�,and compilinS�hc eopies. <br /> Thc responsible authority shall comply immediately,if pos��ibfe,wi�a�y r_quesc ntade pursuant co this subdivision,or within five days of <br /> che dau oP r11e cequat,cxcluding San�rdays,Sandays u►d legsl holidays,if irnenedmie compliancc is noc possible. If he exrsno�comply wi�h�he reques� <br /> w(t}tin rhac timt,he shail so irtform the is�dividuaf,and ettay have sa ad.idona!hre days wirhin which to comply wich the requess,exclud"wg Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Proe�dure wheu dzta is not accurrte or eomplete. An individual may con�tst che accutacy or eomplereness oP pubfic or pri�•ace <br /> Z��cocsceming himself. To exatcisc rbis right,an individual shall noaty in wrisieg the responsibfe authoriry drscribing chc ru,n,re ot the disagrecmcn�. <br /> '^�e responsi6le au�horiry shall wi�hin 30 days ei�er: (:)corrcct thc dan found ro be insccurate or incompleu and aaemp�to norify past rccipiencs of <br /> inac:uraR or incomplece data, inciuding recipiena named by du indi��i�fual; or(b)no�ify nc�individual that he Delieves rhe dasa�o bc corrce�. Dan <br /> in dispuce shsll be 4isclosed osily if�he iadividual's sraeemene oP disay�rcemen�is includzd wich�he discloscd daffi. <br /> Thc dc�erminaaon of�ha responSible auchoriry may De apE��le3 parsusiu w the provisi�ns of thc adminisrrarive proceflure ac�nladng co <br /> con�:sxd casrs. . . <br /> D T4� ,�, pRTVACY ADVISOR'Y <br /> Tn accordance with M.S. 13.04, Subd.2, "ltights of subjects of daza",we would like to inforrn you that your reQuest <br /> for a permi� or license from the Ciry of Orono or any ��f its departmears may require you to fumish cenain private or <br /> confidenti�l information. <br /> You are notifed that� <br /> 1, 'The informa[ion you furnish will be used to desermine your qualification for the permi�or license requesred. <br /> 2, You may refuse to supply data, but rcfusal may require that the City deny the permic or licease. <br /> 3. The informatioa may be shared wir.h ocher 1oca1, s�ace or federal agencies co the ex�ent necessary to process <br /> rhe permit or license. <br /> 4. If your requested permit or iicenst r�quiras Council acsion to approve, some informauon may beeome <br /> public. <br /> 5, Yflu have cenain rights under M.S. 13.43 (avaiiable upon request) �o review private data on yousself. <br /> 6. Your fuiI name is required to process thi� appli�ation or p�rmic. • <br /> �us� 4liddle Lau <br /> .�.ddress <br /> Ciry Snce Zip Phone <br /> I�erst�nd my riohu as s�aced above. <br /> � <br /> � v � �, �� <br /> % ,�"--�'.�r�- C ���i�7���-- <br /> � <br /> Signanarc <br />