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From : J.PETER PALLSON PROF.ASSOC. PHONE No. : Dec.22 1999 1:23PM P03 <br /> ta <br /> Sec.13.04 RIGHTS OF 9URIRI T 1W DATA <br /> Subd.1. Typo of data. The rights of Individual on whom the data is stored AV to ho stored shall he es set forth in this section. <br /> Suds 2. Information required to be given individual. An Individual asked to supply private or confidential data coneernine himself <br /> shall be lrafbrrned of: (a)the purpusc wail Wended use of the requested data widths the oolleedng sans agency.political subdivision,or statewide <br /> sytsam;(b)whether he may refuse ur is legally rewired to supply the requested data:(o)any]mown consequence arising frutn his nupplyviig or <br /> refusing to supply private or ctstlltkdlul data:and(d)1ho identity Of other persons or anuli...authorized by state or federal law to receive the data <br /> This rstiuitunttue shall not apply when en individual is asked to supply lnvastigadve data,purulent to Beefier.13.(ti.,sUlwlivitinn S,in a law <br /> enforcement officer. <br /> The t ommioaiener of rovorhm may claw aha tmuht r.aulred under this riMivie t,n in the individual Income tax or nrnnenv tax refund <br /> jgg suction Insuad of on tlmliiggm <br /> Sulci.3. Access to data by individual. Upon requee to a reapenaihie seniority.an individual shall he informed whether he Is the <br /> Subject of stored dee on individuals.and whcutct it in c.lassIAod as piddle,private or oonradetuial. Upon hie furdar request.en individual w}tn <br /> Is de subject it tsored private or public data on Individuals shall be shown the data without any charge to him end,if ho desires,shall to informed <br /> of the content and meaning of that data. After an individual Inas boos shown the private data and informed of is moaning,the dots need not he <br /> disclosed to him ter lux months tiansanar unless a dispute or action pursuant to this section is pending or additional data on the individual has bern <br /> collected or created. The responsible authority shall provide copses of the private or public data uptrt newest by the individual suhjeet of the dem. <br /> The responsible authority may rognirc the requesting person to pay die acted costs of making.certifying.And compiling the copies. <br /> The responsible autarky shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days <br /> of the date of the request,excluding Saturdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with <br /> the request within that time,he tdtall so inform the hailvidtal,and may have an additional five days within which to comply with the request, <br /> exoluding Saturdays,Sundays and Ind holidays. <br /> 3uwW.4. f'rusedura when data I.out accurate er c.mpiNc. An individual nut.crowns the arenraey or cons:Menem of nubile or <br /> private data concerning himself. To exercise this right,an individual shall notify In writing the responsible authority describing the centre of the <br /> disagreement. The responsible audaoria,shall within 30 days eitrter. (a)correct oho data found to he inaccurate or incomplete and attempt to notify <br /> past recipients of inaccurate or incomplete data.including recipient named by die Individual;or(b)notify the individual that ho believed the data <br /> to be correct. Data in dispute shall be disclosed only it the individual's statement of disagreement is included with the disclosed trate. <br /> The determination of the responsible authority may be appealed pursuant to the pwvisions of the administrative procedure act relating <br /> to contested cases. <br /> DATA PRIVACY_M A/RV <br /> In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data",we would like to inform you that your <br /> request far a permit or license from the City of Orono or any of its departments may require you to furnish certain <br /> private or confidential information. <br /> You are notified that: <br /> 1. The Information you furnish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal nay 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 <br /> process the permit or license. <br /> 4. If your requested permit or license requires Council action to approve. some information may become <br /> public. <br /> S. You have certain rights under M.S. 13.04(available upon roqucet)to review private data on yourself. <br /> 6. Your full name is required to proems this application or permit. <br /> BsL a`L.v l • <br /> First Middle Last <br /> Address ,(- #'73-a/09 <br /> �tlZ '✓ div- SS�,'r S�` dr 7 <br /> City State Zip Phone <br /> 1 understand my rights an stated above. <br /> - <br /> Sig re <br /> 1u� <br /> 6 <br />