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, ' t_94%114;/1SJE 12: 11 612' 217_18474 SAL ITERMAN LTD PAGE A2
<br /> CITY OF ORONO W 6124/30510 U9/U4/96 11 :21 [y :U/! 1 1 NO:2U4
<br /> Sec.13.04 RIGHTS OF _ OF DATA
<br /> Subd. t. Type ell data. The r:hts of individual on whore the data is stoned or to be stored 111a1 be as set forth is this section.
<br /> Sall.2. reform iso required to be given individual. An individual asked to supply private nr confidential data concerning himself shall
<br /> be informed of: !a) die pu • it errs inteaued use of the requested dela whale the eeUattinj kraut agency,political subriivisfon,or stair wide system;
<br /> (0)whether ha may raflssor . Ninny required to supply she,requested dew;(0)any known consequence arising from his supplying or refusing to suppls
<br /> private or conAdentlat del:a d(d)the idenury of other persons or entitles authorised by sate or federal law ru teethe the data. This requirement shall
<br /> not apply when art indlvtdusl 11 asked in evpply lnwestipfwe data, pursuant to section 13,12, subdivision 1,to a law enforcement officer.
<br /> e, •,,,,' , , • -ve,r m%v otace the is s
<br /> artier tggyit4d under-rhuhdiv_itionriq theirtdividuai is.wonte ms rat prooerry rax 'shunt
<br /> t cur t o 0 n thole r,tt —
<br /> sum. 3. A data by individual. Upon requrir to retp7naibia authority,an individual shall be Informed whether he 13 the subiect
<br /> of stored data on individuals,and whether it is dastitied as public,private or confidential. 1Jpon his further request,an individual who is the subject
<br /> of stored private or public d is on individuals shall be shown the data without any charge whirr,and. if he desires,shall be infomted of the content
<br /> and mewling elf that deep A er an ,ndlvidual has been shown the private past and informed of is meaning,the date need not he disclosed to him for
<br /> alt months thereafter unless dispute or action pursuant to this sectint§is pending or addidocal data on the individual has been collected ur created•
<br /> The responsible hethorty aha I provide copies of the private or public data upon request by the individual subject of the tau. The responsible authorryy
<br /> may esquire the requesting p neon to pity the actual costs of making, certifying,and compiling the copies.
<br /> The responetbie a thuriry shall cornpy insnaatlieatly, if possible, with any request ntadr pursuant to nits subdivisioe,or within five days of
<br /> the data of the request,taclu its;Saturdays.Suodsys and legal holidays.if impeding compliance is em possible. If he cannot comply with the reyuesr
<br /> within that rinse,he shell so i oro she individual,end may have en additional five days within which to comply with the request,excluding Saturdays,
<br /> Sundays and Neal holidays.
<br /> Subd,4. Procedure when dam Is net(accurate er complete. An individual may corium the accuracy or completeness of public or private
<br /> talars eoswemloig hiteself. To exercise this right,an inditwuat shall notify in writing the responsible authority describing the nature of the disagreement.
<br /> The reepensiblo authority thrill within 30 days either: (a'correct the data found robe ineccurite of incomplete and attempt to notify past recipients of
<br /> inaueyrute or incomplete dna, Including recipleots named by the individual;or(b) notify the isldivWual that he believes die data to be correct. Data
<br /> is dispute shell be diaok,ed my if the individual's statement of disagreement is included with the disclosed data.
<br /> The detennmetio of the responsible authority may be appealed pursuant to the provisions of the adminiannve procedure ac: relitist to
<br /> contested catty.
<br /> DATA PRIVACY ADQRY
<br /> In accordance with M.S. 11.04, Subd.2, "Rights of subjects of data", we would tike to inform you that your request
<br /> for permit or license front the City of Orono or arty of its departments may require you to furnish certain private or
<br /> confidential information.
<br /> You are notified that:
<br /> 1. "i•he info oration you furnish will be used to determine your qualification for the permit or license requested.
<br /> 2, You may refuse to supply data, but refusal may require that the City deny the permit or license.
<br /> 3. The infot-rnation may be shared with other local. state or federal agencies to the extern necessary to process
<br /> the pe 't or license.
<br /> 4. If your quested permit or license requires Council action to approve, some information may become
<br /> public.
<br /> S. You hav certain rights under M,S. 13.04 (available upon request) to review private date on yourself.
<br /> 6, Your fur name is required to process this application or permit.
<br /> MIL ON LEON CHAZIN
<br /> Pint • Mtodle ties
<br /> 3241—FLAG AVE SOUTH
<br /> Attd_
<br /> mlNi`EAPQLZS MN 554TH 920-6888
<br /> -
<br /> Cgy Stott Zip Phone
<br /> City
<br /> 1 understand my rights stated above.
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<br /> algnentrs
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