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Jun-OB-2001 OB:34am From-CITY OF ORONO +8522494616 T-200 P.00T/007 F-354 <br /> 3ec.13.04 RYSiFITS OF SUBJEC'IS OF DATA <br /> Subd. 1. T�pe of data- 't'hc rights vf individual en whottt die data is srered or to be swred shall be as set forth in this secticn. <br /> Subd.2. Iaformatian requtred to be g�vea iadi•idUa1• M���id�►a!asked to a�pp�y privaea or confidenrial data eonce�ning hitnself <br /> shal!be informed oP: (a)she puryose aud'mtended use oP tht requesctd datR wi�i�thc tolleeattg smte agency,politieal subdivision,or statewida <br /> ryscam:(b1 whethe�he tnay refuse or is legally raquired te supply thc r�q�tsttd data;(c)any Imown consaquencn arisinr from h3s wpplying or <br /> refusing�o suppty privaee or eonfidersdaf data;a�(d)ttie idvndry of o�her paroon4 or cntipcs iwd�etiied by snte or federal 1�w to reeeive d�e data. <br /> 't'nis reqviramen[shall not appiy when an individual is asked w supply in�cstigAtive dara,pursuanc co section 13.82,subdivision S, w a iaw <br /> enfo�ctnient offtcar. . <br /> Tha cnmmissioner of re�enoe mav alnce rhe ntuice x�i�ed unerr this stiAdivisi�n in the individual ineome tau or mm�em wx rePund <br /> iascn�ps�ad ef on thoteSCflmt. <br /> Subd.3. Access to data by iadiv(dual. Upon rcyucst W x rCspbosible au[horiry,an individual shall be infarmed wheelter he is ehe <br /> 3ubjecc of storod dara on individuals,2nd whe[her it is classifiad ws pubiie,private or co�dcntial. IJpbn his 14tthtr rtqucst,an individu�l who <br /> is the subjrct of stored priva�e or publi:data on individualt shsl!be shown rhe daW withouF any char�e m h;m pnd,if he desire9,sbtll be�nlormed <br /> of�he ronteet�ad maning of�tlst daca. Afrer an individual has been shown the pri�ate dam and informed oP ics meaning,rhe da�a need not bc <br /> diS�lesed co him for siz meneh�rharr.aher unless a dispuce o�accian pursuaru ro�his sec6on is�nding or addirivnal dam on tha individual bas b�cn <br /> collecud or c�utcd. 'll�t responsible auehotiry shall provide eopies of th�privare oe pubiic dam upvn rcques�by ehe indiv�d�al subjcct vf che da��. <br /> The responsiblt au�horiry may requitt the rcquesring person to pay�he acaal costs of making,eerrifying,and compiling�ha copias. <br /> The responsiblc autlwrity Shatl GOmply ifttAted'1�[tly,if possiblo,wirh a�ry roquest nwde puesuanr�o this subdivision,or witihin fi�e days <br /> oP�1►e d�u vf th�rcquesc,excluding Samrdays,Sundays and legal holieays.if immediace camplianca is no�possihle. If he cannoc comply wiet► <br /> the.rcc�-sc wiehin rhat timc,he shall so inform thc individual, aM may have an addidanxt feva days wi�hin whieh�o eo�nply wid��he reqaesc, <br /> o�ctuding SaNrdays,Sundays and legal holidays. <br /> Subd.4. Prucedure�vheo d�ta is oot securate or complete. An iodividurl inay conus�the accuracy or campleteness of jublic or <br /> privae�dac�conecming himseif. 7o axereise�his righi,Sll'IIIdiVldu3l 5t1a11 Retify in writieg�he ttsponsiblc authoriry dcscribing tho nature Of thE <br /> disq�rten:en�. Tl�e�spensble authoriry shall wid�ir►30 days cither: (a)carnct tho dta Yound tv 4c inaccuretc er�complck and atternpt te eotity <br /> �asc reci�icna oP inaccurace ar incompleK dara,iocludit�g recipienu numad by the individual;v�(b)nodPy rhe fndivldual thac he belieres�he dam <br /> ��co�rece. Dar�in disput�shall be disclosea enly if the individu�l's sta�emenc of disa�reemen�is included wiih�he disclosed daca. <br /> '[he deuaninarien ef eha resportsible au[honry may be appealM punuane co the provisians vf�hs administrative prvcsdurc act re(acing <br /> w con�:s�ed cxses. <br /> DATA PRiVAC�ADYTSORY <br /> In accordance with M.S. 13.04, �ubd. 2, "T�igh�s of subjeets of data", we would like to inform you chac your <br /> requesc for a permic or licetue f�om the Ciry of 4tono or any of its departments may require yon to furnish certain <br /> privace or confidential information. <br /> You are notified that: <br /> 1. The informaiion you furnish will be u5ed t4 determine your qualificacion for the permi� or license <br /> requesced. <br /> ?. You may refUse co supply daca, but refusal may rtqui�e that the�iry deny the petmit or liCease. <br /> ;. 7he information may be shared wi�h o�her local, sta[�or federal agencies to the extent necess�y to <br /> �tocess ttie permit or license. <br /> 4. If your requested permit or lirxnse reqvires Gauncil accion co approve, some information may becorae <br /> public. <br /> 5_ You have cenain rights under M.S. 13.04(available upon request) to review private data on yourself. <br /> 6. Your full name is requised to proeess chis apglication or permi�. <br /> Wt�l v� Zulo �' <br /> First M1l'tddle• 1.ASG <br /> (01003 l�dr�c 1�D„r• <br /> �dfCSi <br /> �d"��, r�►,n� Sy39 9sz�9y�-�s�s <br /> C;ry Snce 2ip Phone <br /> i undersiaud my righ�s as sta�ed above. <br /> � . <br /> Sisnsture . <br /> � <br />