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- CITY OF ORONO 6124730510 09/24/96 14:001J :03/03 NO:522 <br /> v <br /> Sm.13.04 RIGHTS OF SUBJECTS OF DATA <br /> subd. 1. Type of dots. The rights of individual on whom the dam is stored or to be stored shall be as set forth in this section. <br /> Subd.2. Wormation riqudred to be given indioid=L M Individud asked to supply private or confidential dam concerning himself shall <br /> be informed of: (O the purpose and intended use of the requested dam within the collecting State agency,poUdW subdivision,or statewide symem: <br /> (b)whether he may mAtse or is legally required to supply the requested dam:(c)any known consequence arising from his supplying or refusing to supply <br /> private or cooftdewW dam,and(d)the identity of other persons or entities authorized by state or federal law to receive the data. Thisrequirement shalt <br /> not apply when an Individual Is asked to supply investigative data.pursuant to section 13.82,subdivision S.to a low enforcement officer. <br /> the commissioner of revenue may mace the notice rccrailgi under this subdivistorLin ft individual income tax or ororunv taxarck id <br /> WWatiohns(unstated of on timso forms. <br /> Subd.3. Access to data by Individual. Upon request to a responsible authority,in individual shall be informed whether he Is the subject <br /> of stored dare on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is rhe subject <br /> of stored private or public dam on individuals shalt be shown the dam without any charge to him turd;if he desires,shell be informed of the content <br /> and tpftniug of that dam. After an individual has been shown the private dam and informed of its mesning.the data need not be disclosed to him for <br /> Az months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. <br /> The responsible authertity shall provide copies of rhe private or public dam upon request by the individual subject of the dam. The responsible authority <br /> may requite the mquesdng person to pay the actual costs of malting.can iffing.and compiling the copies. <br /> The responsible authority shall comply immediately,if possible.with any request made pursuant to this subdivision,or within five days of <br /> the date of the request.excluding Saardays.Sundays and legal holidays,if Immediate compliance is not possible. If'he cannot comply with the request <br /> within that time,he shall so inform the individual,and may have=additional five days within which to comply with the request,excluding Saturdays. <br /> Sumtays and lags(holidays. <br /> Subd,4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private <br /> data concerning himself. To exercise this fight.an individual shall trodfy in writing the responsible authority describing due names of aha disagreement. <br /> The responsible authority shell within 30 days either. (a)cornet the dam found to be inaccurate or incomplete and attempt to notify past recipknes of <br /> Inaccurate or incomplete dere,including recipients named by the lndividual;or(b)notify the individual that he believes the dam to be comet. Data <br /> is dispute shall be disclosed only if the individual's statement of dingreement is included with the disclosed dam. <br /> 31te determination of the responsible authority may be appealed pumesm to the provisions of the administrative procedure act relating to <br /> contested cases. <br /> DATA PRTVACY ADYtSORY <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects of data", we would like to inform you that your request <br /> for it permit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You aro notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You pray refuse to supply data. but refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local,state or federal agencies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some inibrmatlon may become <br /> public. <br /> 5. You have certain rights under M.S. 13,04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Pier Middle Last <br /> Address <br /> tyry Smte zip Phone <br /> 1-understand my rights as s ve. <br /> signaare <br /> Received Time Seo. 24. 1 :42.PM Print Timp San 94 1 -4ZPM <br />