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� <br /> ! � <br /> Sec.13.Q'RIGHTS OF StJBJECTS OF D�.TA <br /> Subd. i. Type of daea. Tha righcs oF individual on whom[he data is sroced or to be scor`d shalI be as se�foc�in[his secaon. - <br /> J <br /> Subd.2. Informaaon reqirired to be�vea individual. An individual asked to supply privam or confidencal data coacerning himself shall <br /> bz'mformed of: (a)th�purpose aad inc:aded use of the requesr�data within the eollecang Stac�ageacy, poliacal ss�divisioo,or scicewide rystem; <br /> (b)wha�her he may rfuse or is legally requir_d to supply the rquested dac3;(c)any Irnown eonsequence arising from his supplying or refusing to supply <br /> p;ivar_or eonndendal dara;ar.d(d)che idendry of other parsoas or enod:s authorized by scate or federal law to receive t..e data. This tequiremeac shall <br /> r.oc apply when an individual is asked to supply invesdgarive data,pursuan�to secdon 13.52,subdivision 5, to a law enforcement ofricer. - <br /> "[he comrnissioner of revenue mav olace ch� noace reauir.d und=r this subdivision in the individual ir.cone cax or orooem t3x refur.d <br /> ins:rucaons inscead of on chose forms. <br /> Subd.3. Access to data by iadiridual. lipon requesc co a responsible au�horiry,an individual shall be iru`o-aed whether he is the subjecc <br /> of s:ord dact on individuzls,and whecher it is classifi:d�s pubtic, privace or confidential. Upon his further requesc, aa individual who is the subjecc <br /> of s:ored privace or public data on individuals shall be shown the dan wichout any charge to tiim and;if he desues, s�11 ba informed of the con�ent <br /> ar.d meaning of chat dara. Aher an individuai has been shown cha privare dara and informed of iu meaaing, che dara need not be disclosed to him for <br /> siz months ti:zreafter unless a dispute or acdon pursuan�to chis Secaon is pznding or addidoaal data on the individual has been collecc:d or creaced. <br /> The responsibla auchoriry shall provide copies of che priva[e or public data upon request by che individuat subjec[of�ha data. The zesponsib(e aucfioriry <br /> may requirc the requesdng pe�son to pay the actual coscs of rr�aking,cerrifying,and compiling the copies. <br /> The responsible auchoriry shall conpty immediately,if possible,with any t�quest made pursuant to this sutdivision,or wi[hin five days of <br /> the dace of tha requesc,excluding Sacurdays,Sundays and legal holidays,if immediate compliance is not possible. If he canno�comply with the requesc <br /> wichin[hat dme,he shatl so inform[he individual,and may have an addirional five days witfiin which to comply wich t`�e r:quesc,exciLding Sacurdays, <br /> Sur.days and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest[he accuracy or eompleceness of public ac private <br /> da�concerning hitnself. To exercise this ri¢hc,an individuat shall noa"ry in wriang the responsible auchoriry describing che nanire of the disagrecmenc <br /> The responsible authoriry shall within 30 days ei[her: (a)correct the data found to bt inaccarate or incomple[e and a»mpt to nodfy pasc recipiencs of <br /> inzccun.e or incomplec:data, inciuding re:ipien�s named by the individual; or(b)nodfy the individual that he betieves the daca to be correc� Data <br /> in d'upute shall be disclosed only if the individual's sc3tem�nt of disagreerr.ent is included with the disclosed data. <br /> The decerminadon oF the responsible authoriry may be appealed pursuant to the provisions of[hc adminis�arive proceduce act reladn� to <br /> concesced cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data", we would li.ke to inform you tha[your request <br /> fo: a perm;t or license from the Ciry of Orono or any of its departments may require you to fumish certain private or <br /> confidential information. <br /> You are no[ified that: � <br /> 1. The informa[ion you furnish will be used to determine your qualification for the permi[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 information may be shared wich other local, state or federal a�encies to the eztent necessary to process <br /> � the permit or license. <br /> 4. If your reques[ed pernut or license requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri�hts 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 /> Z���/� ) ��C��l�� <br /> Firs biiddlt � Lasc <br /> ���� ��� � � ��� <br /> Addre � �j � / <br /> ��.c �J�1/�� � ���/ ✓ �.�'�'l C� ���_ /� ��� <br /> 1.. " 1.C. � <br /> Ciry Smte Zip Phone <br /> I unde '� cs as stated abo <br /> �2� - . <br /> � �/ <br /> Signan:ce <br />