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10/2�i2007 13:38 ASPEN EXTERIORS � 9522494616 N0.301 D003 <br /> Sec 13.04 RiGHTS OF SUBJECTS OF DATA <br /> Su6d.1. Type ofdata. 77u righb of individual on whom du data is staQed or�o be swred shall be as set forth in�his sxtion, <br /> Subd.2. InfoTrnaaon requir�ed m be givon individual.An individual agked to supply privare or oon6derrtial da�conceming himselfshall be <br /> informed of: (a)the purpose and;n6andcd use ofthe cequested data within the collecting scate agency,Politica!subdivisio�or sratewido sys�em;(b) <br /> whcther he may refuse or is Icgally nquired to supply the r�equested dam;(c)arry known consoqucna arisiag from his supplying or refusing ro supP�Y <br /> privaoe or co�fidenrial data;and(d)Hu idendty of other persona or errcities authoived by srate or federal law ro reoeive the da�?his rcquirement shal I <br /> � not�p1y wlsea an individual is asked�o supply;nv�gadve dat�pu�auen�to soction I 3.82,su6division 5,w a Ivw enfoToement officer. <br /> � <br /> TF�e commi4.afOtlOf OFfevere�e mav oI8C8 thC tiOtic^re URCd LLnder th:s �hr�i • �*ho ina' a..-�:-_ <br /> q y.rS�H•••••: Y' ^��wY-r nri.rvrv�?C IHRR14 <br /> i�nl�tien�inskGad of on ehese focros. <br /> Subd.3.Acaes9 pv dara by individ�ml, Upon request oo a r�sponsible authoriry,an�dividual shall be infomxd wt,echer he is the subjxt of <br /> smred da�a on individumJs,and wludxr it u clsssified ag publiq private or confidemial. Upon his turther request,an individual who is the subjcct of <br /> storod privane or publ ic data on individuals sha11 be shown fhe dara wirhout any chmge cu him and,if he desires,shall he infoRned of the content and <br /> me�ing ofthat data After an individual has been shown the privatc dats and inFomud of its mcaning,tht da�need not be disclosed W him for siz <br /> moot6s the*�ftcr uNess e dlspute or action pursuant to this sxdon is penditlg or additianal dsra on rhe individual hes been coUocred or crealod_The <br /> r�sponsibte a�nhoriry shall provide copios afchc p►ivace or puDlie data upon request by the individual subject ofthe dam. 7he respon4ible authority <br /> msy roquiit the requ�g(in8 P���PeY the ac,tua]costs of rneking,catifying,and compiling the copies. <br /> 7'Le respo�sible authoriry shall comply immcdiately.ifpossible,with arry roquestmade purauancm this subdivision,orwirhin five daysof <br /> the date ofthe roquost,pctluding Ss�hudaye,5undays and legal holidays,ifirnmediste tompliunce is not possible.lf he can�wt comply with the toquat <br /> within that umc,he shall so infocm the ind;vidual,aRd may have an addidonai five days within which so oomply with the req�xs[,cxcluding Ssaudays, <br /> S�mdeys and legal hol idays- <br /> Subd,4.Procedure When data is not aocwaLa or oomplet�An individusl may r.pnTest dte acc�nacy or co�mple�eness of public ar p�iva�dffia <br /> cotseenring huRRelf.To execrise this righ�an individual shall notify in writing tha respoasible outhoriry describing the nadue of the disagncment,'Rte <br /> reaponvible svthorfry s1ts11 with;n 30 days eithet; (s)correct the da�Tou►Id[o be inaccurate or inepmplCte Et'id at0emp[to notify pgg[feCipienls of <br /> �����or incomplete dam,inc7uding recipienB named by�c individual;or(b)notify rhe individual that he believes the data to be correet Dam iu <br /> dispute shal!6e discloscd only if the individual's s�socment of disagramerrc is irrcluded with the d;setased data. <br /> The dcttrmination of the rospansiblc authoriry may be appwled purs�mat tn the pmvisions of the administrative p�cedure act relating w <br /> ! con0�sopd Ca4CS. <br /> i DATA PRNACY ADVYSORY <br /> � In accordance with M.S.13 Aa,Subd.2,'R'►ght�of subje�ts of data",we would like to inform you that your request <br /> fur a permit or license from the City of Orono or any of its departmenis may require you to furnish certain private or <br /> confidential iaforn�ativn. <br /> You are notified that: <br /> l. The information you furnish will be used to detennine your qvalification fnr the permit or license <br /> requested. <br /> I 2. You may refuse to supply data,but refusal may require thaz the Ciry deny the permit or license. <br /> ' 3. The infor►nation may be shared with otha local, state or federal agencies to the extent necessary to <br /> I process the permit or license. <br /> ; 4. If your reyuested pennit or lioense requires Couneil activn to approve,some information may become <br /> public. <br /> 5. You have cerrain righcs�nder M.S. 13.04(avnilable upon roquest}bo review private data on yourself. <br /> 6. Your full name is requir�ed to prvicess this applica' or perir,it. <br /> _ ,_ �-� �. �� I 1"^@�'L <br /> I Fi Mtddle /_ Last . <br /> ��o`�� /� � l� u�Y�c ��30 <br /> �Addre <br /> 2�1�t ��! .SS� v 3 �(v3��3�' ��g� <br /> Clty State Zip Pdont <br /> 1 understand ts as s�ted abova <br /> sientture <br /> i <br /> 32 <br />