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Jui. 22 2008 1 :49PM No 9676 P 3 . Sec.13.04 IUGH'�'S OF SU�I�C�'S 0�AA,T,# 5ubd 1. Iype of dara. �he rigb�s of individual on wbom tbe dara is stwed or w be sWxed sbaU b�as se�forth ia�his section. Subd.2.�,t'om�euon�«�uired co be given individuel.Au indrvidual�ked w suDPIY P�va�e w coafideadal dara aoncern�og himsel[shall be informed of; (a)rhe purpose snd irttor►ded yse o�rhe reques�ed da�wishin zhe collecdn8�aB�Y,Polidcal subdivisioq or saroewide system;(b) wh�her he may rof'use ot is legatly t'equind W supply t6e requ�da't�;(c)stty known cot�sequence uising from his supplying er refi�sing m supplY privaoe oc confid«�tial data;and(d)tbe identity of other pwsons or entities a�horiud by ataoe or federal lew to raeive the data Thzs require�ent shall aot apPly x�ha�en individual is asked m supply invessiB�ive dara,pursuent m sec�ion 13.82,aubdivisioo 5,w a�w en[orcemeoc�cer. The commissioner af revenue may�lace the nocice reauired under this subdivision in the individual income tax or p�pgt�py�� inatructions inatoad of on those fwm,�. Subd.3.Access m da�a by ia�dividuat.Upon re�uest m a responsible aurhoriry,ao indi�idual shall be ioformed whetha he is ctu subjxt of stored data on individuals,and whet�er ic is elass�ed as public,privete or cop�dencial. Upoa his fiuther request,an indirvidual wlao is tbe subject of atored private or pu'blic data on individuals shall be shown the data without any charge to him�ad,if he dcsires,sl�all be infom►cd of the coatent and meaaing of�c dsre, Alter en iodividual has beea shown rUe p�ivaze dam end in[amed of as mean�in6.she daTa need no�be disclosed w hum fox six • months rhereaRer ualess a dispute or action pursuant to this section is pending or additional daca on the individual has been colleeted or created. The �ponsible aur�orny shetl provide coyies o�'�he�ivaze or public dam upoa roqueas by rbe iodividueJ su�jxc of+he da�, �be responsible auiho�iry maY ro9uire du requesting person oo pay the actual costs of making,certiCying,and corapiling the copies. The[apoasible autboriry shell comply iamediaro�,if possible,with m►Y�4uest made p�vsuant w ihis subdivisiou,o�wifhiafrve days o� the date of the request,excludir►g 3atwrdays,Suadays aod legal holadays,if im�►edi�ce compliance is not poss�ble.Ifhe canno�com�ply wich d�ie roqu�st withiu that time,he shall so inform the individual,and may Lave aa additional five days within which ta wmply with tho requat,excluding SanudaYs, Swudays aod legal�olidsy,s, Subd 4.Proeed�ue whc�dare�s awt ecc,w�ace or cA�uplece.Ao iu�drvidual may comest�he accwacY or corpple�eaes�of public orpriva:e dara eoneemir►g himself.To a�ercise cb�is nigb�,sa iwdividual shsll noci�y in w�idag the�sspon,sa'ble aud�mip�desaibing ttie natu�o[the disagreenaenc Tbe reaponsible authority aball within 30 Qays either: (a)correct du data found co be inaccur�te or incomplebe and aitempt to notify past recipients of inace�u�ate or incomple6e data,includ'wg recipierrts aamed by t�individual;or(b)aodfy the individual that he believes the data to be eomct.Daea in diypuu sk►sll be disetosed only i�'the individual's steteme�nt of dissgre�inent is mcluded with the diselosed dere. �he determinasiou of tbe lrespottisible au�horisY meY be appealed pursusnt to tGe provisioas o�t6e'sdmir►isue�ivo proeed►ve acs relatiog co contested cases, DATA PWVACY ADVZS RY In aceordance with M.S.13.04,Subd.2,"Rights of subjects of data",we would like to inform you that yow request for a permit or license from the City of Orono or any of its dcpartment4 may require you to fumish ce�tain private or cv�nfidential in�ormation. You are not�f ed that: 1. The information you furnish will be used to detecmine your qualification for the permit or license tequested 2. You may refuse to supply data,but refusal may roquire that the City deny the permit or Iiceose. 3. The information may be shared with other local,state oT feda�al agencies to the extent necessaly to process the peRmit or license. � 4. �f your requested p�cmit or liceo,se requires Council ac�on to approve,sobne iaafonmacion m�ay become public. 5. You havc certain rights under M.S.13.04(available upon request)to re�iew p[ivate data vn yourse(�: 6. Your fu11 name is required to proeess this application o�p�rn►it. Jill W Vinz Firat Middle l.ast 30751 Excelsior Blvd Addresa Hopkins MN 55343 (952)2�'l•1600 CI� Stxte Zip Phoue I undecstaud rights s tated e. � Siyoaare 32