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S/ ♦ <br /> Sec.13.63 RIGKIS OF SL'BJECTS OF D�►TA <br /> Subd. 1. Type o[data. The righa of individuai on whom che dara is scoced or oo be scc�ed shall be as sec fonh ia chis secrion. <br /> Subd.2. InformaCon reqirired to be sivm iadividual. An individual asked w suppiy private or conFdendxl dara concerning himself shalI <br /> be informed of: (a)the purpose and inreaded use of che requesmd dam withia the collecdag tar=ageacy,poliacal subdivision,or ssatewide rystem: <br /> (b)w6erher he may refuse or is legally required to supply the requesced data:(c)aay lmown cansequeace arisiag hom his si:pplyiag or refusing to supply <br /> privare or confidendal data;and(d)the idendry of a�er peaoas or enddes auchorized by srara or federa!law m�zceive the dara. This requiremenc s6a11 <br /> aot app(y when an individual is asked to supply ia�arigarive dara,pursuanc to secrion 13.82,subdivision 5,[o a taw eaiorcement officer. <br /> The commissioner of rerena riav alr-che nodce reauired under chis subdivision in the individual incor,.e rax or_pronem taz �efur.d <br /> instruedons instead of an chose forms. <br /> Subd.3. access to data br•iadividual. lipon request to a responsible aurhoriry,aa individual shall be inforaed whe[her he is the subject <br /> of scored da�a on individuals.and wherher it is cl�ssified as public,privace or confidendal. t;pan h.is futther request,aa iadividua!who is the subject <br /> of stor:d private or public dam on individuals shall be shown the dan wichout any charge tn him and;if he desires,shaIl be iafocmed of the concenc <br /> and meaning of chat dara. Aher an individual has been shown che privace daca and informed of ict meaning,[he data need noc be disclosed oo lum for <br /> six manchs rhereafur uniess a dispuu or acdon pursuan�co [his secdon is pending or addidoaai data on the individual has been coliecud or creared. <br /> 'Ihe cesponsibte au[horiry shall provide copies of dze privace or pubiic data upon requesc by the individual subject of che daca. The responsible auchoriry <br /> may cequire[he requesting person to pay the acaal coscs of cnaking,cerdfying,and compiling the copies. <br /> The responsib(e aurhority shali comply immediately,if pouible,wich any request made pursuant to[his subdivision,or wirhin five days of <br /> the darL of che requesG eacluding Satucdays,Sundays and legal holidays,if itumediace compliacce is noc possible. If he uanot comply with the requesc <br /> wi�hin chac ame,he shail so inform[he individual,md may have an addiaoaal five days wichin wtuch to compiy wich th:request,ezeLuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or compleceness of public or pri�ate• <br /> dara concerning himsdf. To execcise�is righc,an individual shail nodfy in wridng che respoasible au[horiry dacribing d:e aacuse of the disagreemenc. .. <br /> The responsible auehoriry shall wichin 30 days ei[.�er. (a)correcc che daea found co be inaccursre or incomplece and aa:�pt to nodfy past tecipiencs of <br /> inaccurac:or incomplece dan, ineiuding recipienes named by che individual:or(b)notify che individual chat he believa ehe dara to be cortecc. Dara <br /> ia d'upute shall be disc:osed only if ehe individual's stacemenc of disagreemenc is included wich rhe disclased data. <br /> The determinadon of the rnsponsible au�horiry may be appealed pursuanc to the provisions of cht adminisearive procedure act mlating to <br /> contested cases. <br /> DATA PRIVACY ADVISORY <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 a permit or license from the Ciry of Orono or any of its departments may require you to fumish certain private or <br /> confidential informacion. <br /> You are notified that: . <br /> 1, The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2 You may refuse to supply daca, but refusal may require thac the Ciry deny thc permit or license. <br /> ;. The information may be shared with ocher local, state or federal agencies to the exteat necessary to process <br /> the permit or license. <br /> 4, If your requested permi� or license requires Council action to approve, some information may become <br /> public. <br /> �. 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 /> � ���-� �,� �� <br /> ���1 ` � '� Vttddla Lasc �l // <br /> First <br /> �30� ��I�t.�� �3 S �sYr� <br /> aaa�s5 S`� o`.�' �/'c31-aa� . <br /> Cicy Stace Zip Phone <br /> I underscand my riQ as sca above. <br /> Signacu <br />