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Sea13.41 RIGfi'FS OF S[TBJECTS OF D�Ta <br /> Subd. i. Trpe o[data. The ri�ha of individua!on whom c�e daa is sooc�d or w be s�oad sM11 bc u sec[octh in tbis sx�on. , <br /> Subd.2. Information reqmred w be gi�m mdi�idmL An icdividua!uYed to wpplr privaoe or coofidenoal daa oonceming Limself shali <br /> be informed oF (a)dee purpou and inoended ux of the�esoed daa v�-�ia the coIIecring Swe agency.Poliaca!wbdivisioa.or saxwida sysoem; <br /> (b)whuher he may�efiue oi is legailY requued w�p1Y che cequaood dui:(c)a�r 1�own oo�xa��°E�his supplymg or nfusin3��PP1Y <br /> privam or contidcndai daa;ae�d(d)du idenacy of o�her paso�or eariaes xathorizod by moe or fedeal iaw oo�eceive the daa..This requiremeac shall <br /> aot apply wlua an iadividuat is askad m supply utvadgidve dan,pu�c ro seccoa 13.8'�.�6division S.�u a hw a�fo�em�c offxer. <br /> 'Ihe comrttissioner of re��enue mav olm du tmace�eauiied u�er this subdivisioa in du individusl income nx or propertv ax tefu� <br /> insauc�oas insc�d of on those fomts. <br /> Subd.3. Access to data bp individuaL Upoa requesc co a mspo�le an*r..oriry.an indi�idaat shall be�fo�med whether de is th,e subject <br /> oF sco�ed daa on iadividnals.and wix�her it is classificd as public,privac:or conf�arial. Upon 6is[wt6er zequac.an indiridual w�is the subjecc <br /> of scocrd priva[e or public dara oa iadiv�uals shatt be s�wn the dua w�ouc any caarge ro dim and:if!u desues.shall be infocmed of the coatenc <br /> �..+r�n�ng o!�ha[dua. Afrer an iadividua!has been shown the priva::tan and ic:oraud of as�.the daea noed not be discloxd oo hica fo� <br /> six monrhs rhereaite�udess a dispure or acdon pu�suanc oo this secdon is ccndims or addi�ml data oa the individual6u been coticeoed or creaocd. <br /> 'It�e cespoasible auchoriry shal!pro�ide copia of du priraa or public da�a�on ceques:by the individual subjeccof ahe d:a. The mpoasibk authocicY <br /> may ca�uir_the�equesti+�petsoa oo pay d�e uani cosa of matting.ceri7;iag.u�d comp�liog the oopia. <br /> '!tu�esponsible authoriq slull comply immediacely,if possible.wi�fi sny r_�ueu made pursuant to this subdirision,o�wi�hin five days of <br /> the dam of du cequa�ezclud'eng Ssardays,Snndays and kgai holidays.if i�modiaie eompl'nae is aot possibk. If he caonot compty w�idi d�e req�esc <br /> widiin diac time.he shal!so infocsn the iadividusl,azd may have an addicoral fire daps widiin which to compty with�he cequest,exetuding 5uurdays. <br /> Su�days and k�al holidays. <br /> Subd.4. Ptocedure r►hen data is�t accurate or eomplNe. �►n iediviGual may aonoeu d�e aauncY or compleoeass of pnblic or priraoe <br /> dan rnaceming himself. To exec�cise diis riglu,an iadiridaal slnll aoafy ia wci[ing ds=responsble wt�ricY descn3i�8�he oaaR of the disageeemeoc. <br /> The responsble audwriry shali within 30 days either. (a)coaect du dan fcund ro�e iaaccuraoe or incomPleoe and aaempc to norifY P��P�T�of <br /> imccunae or ircompkoe daa.inc[uding recipiencc named by the individ�l:or(b)eodfy the iodivi�!thtt be believes die data to be correcc. Daa <br /> in dispuoe shall be disclosed only if d�e indiridual's snoeme�of disag.r_.-�nt is i�2=ded with dte discloud dan. <br /> 'Ihe daerminadon of the resporuiWe authoricy may b�appeale3 pu�suar.c to dse pmvisioas of du adminisaarive pmcedute act reladn�o� <br /> rnntesad cases. . <br /> DATA PRIV�CY AD�'ISORY <br /> In accordance with M.S. 13.04,Subd.2, 'Righu of subjecu ot clata",we would like to inform you that your reauest <br /> for a permit or license from the City of Orono or any of is depar�u.ents may require you to furnish certain grivate or <br /> confidential information. <br /> You are notified thaz: <br /> 1, The information you furnish will be used co de:ermine�our qualification for the permit or license requested. <br /> 2. You may rofiue co supply daca, but refusal may require that the City deny che permit or license. <br /> 3, The inforcnauoa may be shazed with other 1oc21, state or federal agencies to the extent necessary to process <br /> the permit or Iicense. <br /> 4. If your requested permit or license requira Council action to approve, some information may become <br /> . , public. <br /> �. You have�certain righu under M.S. 13.04 (available upoa request) to r�view private data on yoarself. <br /> 6, Your full name is required to process this application or permic. <br /> .� , _.J L�ir� t 5�t"�rYl <br /> Ficsc , ' � <br /> � � � <br /> ,��j(� ,ti1� ����� ��-���- Ig�� <br /> l� t l`rlL <br /> 'C1ry Sam Zip P�o�u <br /> I understand my riohu az scated above. <br /> --- <br /> ,�__�/"'7 - -=��, _ �Z�,.��-..—�_ ' <br /> • ��,K <br />