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NOV-22-2006 12 :01 PM Macalester_Biolosy 651 696 6443 P. 03
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<br /> Sec�13.04 RIGRTS UF 9UBJBCTB OF DATA �
<br /> Subd. I, 7ypo of dan. The righp oP individusl on whom the dete ia ecemd or ro be stoted ahall ba�aet fbrtN In thla aoction.
<br /> Subd.l.lnfermuion requlred m be givan individuel.An individuel eeked to aupply privete or eonfidenual deta conaaming hi�Ne I be !
<br /> Informed of: (e�the purpwe and intended uoe of the requeatad dam within tha ool lecting uate seenoy,pol itioal subdivisiot�oc atabewida ;(y) �
<br /> whether he msy rotLee or le legelly requirod to eupply cha roque�ted data;(c)any known coneequence erising from hi�aupplyin�or rclLtlrtg pply �
<br /> prlvete or conFidnntial daia;and(d)tbe idsntity ofother peraona or entlela wthoriaed by elato o�tbdenl lew co rooeive tho dete,ThV(�qui ehell ' !
<br /> not opply when en iedivlduel ia a9kod to 9upply invqtigative dan,purouant t��ction 17,82,aubdivleion 7,to�lew enibteement otYfca. .
<br /> Ine mctinn instse nf Dn thaed bnrme. i
<br /> 5ubd,3. Acceae wdusby Indlvldusl•Upon reques�to s rneponaible euehoriry,�n indlvidual ehdl be Informad whe�ho u tAe:� tof '
<br /> etorod d.�a on individusle,erd whather it ia claaoitfed os publlo,priv+ua or contldentlel. Upon hie further requo�t,an indlvidual who ie ehe J t oP •
<br /> rtorod prlv�ro or public deb on Indlvlduola shell be ahown the date wlthout arry aha�e to him and,lf he desires,ehell be infbrmed of the ao end �
<br /> meening oFthat dole, After an ind�vidual heo baen shown ehe private data�nd fnfornted of Ita meenin�,the data neod not bo diaclo9ed ea hl r eix '
<br /> month�theroat�er unleaa�diaputo or action pu�auenl to thie roation ia pending or additionel dea on the lndividuol h�s been oolleeted or '�
<br /> roeponelble autho�ily 9hall provide copler of lhe priv�te or publia dsre upon roqueee by the Individual eubje�t of the data, The napoosiblb odty
<br /> may roquiro the requosting person to pry the aetual eosu of makit�,oertilying,end complling tha oopia. :
<br /> The reeponelble authorlq ahell comply immediately,IFpoeelbla,with any roqua9t made purauent w thia aubdivi�ion,or wftl�ln n s oi �
<br /> d�a dste of the requeot,wccluding Selurdayr,Sundsye and legal holidayo,i�immediete oomplienoe la not poaoibla IPhe cannot oomply wlth uen •
<br /> within that�ime�he�hell eo inform tfa Individual,snd mey hwe en additionel�ve dey�withln whloh to comply wlth tha�equat,exeluding�8 iys,
<br /> Sundayo end le�al holideys, •
<br /> 8ubd.4, Proeedure when d�te ia noo eccurete or oomplete.An individual may conkat the eoouroey o�compleEeneee of publio oe prN data •
<br /> conceming himsell.To exeroiee this right,en iridividud ahell nodfy in writine the roaponaible eufhorfty describing the neture otthe dl The
<br /> reaponaible�uthorfry ahell wlthin 30 daya either: (e)corroct the dela tbund to be Inoecurate or Incompleta end attampe to notlfy poyl roei ta of
<br /> lneccunte or In�mplete date,I�luding rcalpla�ta named by tha Indlvlduel;or(b)notify khe individual thet he believea the dae to be oortoea, in
<br /> di�puto shall bo diwloaed only if Ihe individual'e 9tatement of diaagraomono is Ineluded with tlu dlealo�ed date.
<br /> The determinetlon ofthe responaible wthoriry mey bo appeded pureuunt to the provieions ofthe adminiatntive proceduro oct n� t g to '
<br /> eonteahd aeeea.
<br /> pATA PRIYACY ADVISOAY �
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<br /> In accordance wlth M.S,13.04,Subd,2,"Righta of subjeets of data"�we would like to inform you that your , dt !
<br /> for a permlt er llcense thnm the City of Orono or sny of its departments may requiro you to furnish cenain pra� or '
<br /> confidential information, �
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<br /> You are notified that; ;
<br /> 1, 'fho information you fumi�h will be used !o determine your qualification for the pen�it or �I� nae
<br /> reyuosted, �
<br /> Z. You may refuse to supply date,but refusal mey require that the City deny tho permit or licenam, �
<br /> 3, The Information may be shared with other local, atate or fede�el agencies to the extent necess� to �
<br /> proceas tha permit or license, i
<br /> 4. If your requested permit or liconse requires Council action to approve,some lnformation may me '•
<br /> public. �
<br /> S, You hsve certain righte under M.S, 13.04(available upon request)to review private deta on ymuf If. �
<br /> 6, Your full name is required to process tl�ia appllcation or permit, !
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<br /> Addreaa :
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<br /> C��Y St�te Zlp Phonc ' �
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<br /> I under d my rights ea at tecl x.�ove, I
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<br /> 81Cnalure I �
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<br /> . � . . Reeee Form .' . . 32 �
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