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r r <br /> Sec.13.0�RIGHTS OF SLJB.TECTS OF DATA <br /> Subd. 1. Type of data. The righcc of individual on whom[�e data is sto:_3 or to be srnced shall be bs set forth in ctus secdon. <br /> Subd.2. Information reqirired to be given indiridual. �1n individua!ass�rn suPP�Y Private or confidendal data conceming himself shall <br /> be informed of: (a) the purpose and in[ended use of the requested data w:�in the collecting�tate agency,polidcal subdivision,or sracewide sysum; <br /> (b)whe�tter he may refuse oY is legally required co supply[he requesced dact:(c)any I�own consequence arising from his suppiying or refusing to suppiy <br /> privace or conndendal data;and(d)the idendty of oeher peaoas or enddes ae�horizrd by state or federal law to raceive the data..This requiremen�shall <br /> not appiy whtn an individual is asked to supply invesdgadve data,pursu�:c co secaoa 13.82,subdivision 5,to a law enforcemenc o�cer. <br /> The commissioner of re�enua r�av place the nodce reauired erd-r this subdivision in che individual income tax or orooem rax refund <br /> instruccions insczad of on chose forms. <br /> Subd.3. Access to data by indi�idual. Upon request to a tespaasible aec*oriry,an individuai shall be informed whe�her he is the subject <br /> of scored data on individuals, and whecher it is classified as public,priva¢or confider.aal. Upon his furcher requesc,aa individual who is the subjec[ <br /> of scorod privace or public data on individuals shall be shown[he dara w�ia.out any c"a'�e to him and:if he des'ues, shall be informed of the content <br /> and meaning of chac data. Aher an individual has been shown et►e priva��ac3 and iz:or�ed of ic�meaning,the data need not be disclosed to him for <br /> six monchs�herea[ter unless a dispute or acdon pursuant co[his section is��nding or addiaonal data on the individual has been collected or creaced. <br /> The responsible au�horiry shall provide copies of che privace or public dac�n�on requ:s:by che individual subjecc of che data. The responsible authoriry <br /> may require�he requesting penon to pay che actua!coscs of making,cer�ing,and compiling the copies. <br /> The responsible authoriry shall comply immediacely,if possibl=,wieh any r=ques[made pursuane to this subdivision,or wichin five days of <br /> the date of che requesc,exciuding Samrdays,Sundays and te¢al holidays,ii irnmediacr,compiiance is noc possible. If he cannot comply wich the request <br /> wichin�hac time,he shall so inform the individual,and may have an addider3l five da:s wiehin which to comply wi�h che request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. �n indiviZuzl may contest the accuncy or compieteness of public or pri�•ate <br /> dara conceming himself. To exercise�his right,an individual shall nadfy ia wridng�e responsible authoriry describing ttte nacure of the disagreemenc. <br /> The responsible auchoriry shall within 30 days either: (a)correct the dan icund to be inaccurate or incomptete and aaempt to nodfy past recipiencs of <br /> inaccurace or incomplete data, inctuding recipien¢named by ehe individ�I;or(b)codfy the individual thac hz believes the data to be correcG Dara <br /> in dispuce shall be disclosed only if the individual's statemen[of disagr::�:nt is ir.ch�dzd with the diseiosed dara. <br /> The decerminaaon of the rosponsible auchoriry may be appeal=d punuan:to che provisions of che adminisaadve procedure act reladng to <br /> contesud cases. . <br /> DAT?, PRIV�CY AD�ZSORY <br /> In accordance with M.S. 13.04,Subd.2, "Ri;hts 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 oi ia deparr,_ents may require you to fumish cenain priva�e or <br /> confidencial information. <br /> You are notified that: <br /> 1, The information you fumish will be used to dz:ermine�'our qualification for the permit or license requested. <br /> 2. You may refuse to supply data, buc refusal may require that the City deny the permit or license. <br /> 3, The information may be shazed wich ocher loczl, stace or federal a;encies to the excent necessary to process <br /> the permit or license. <br /> 4, If your requested permit or license requires Council action to approve, some information may become <br /> . . . public. <br /> �, You have cectain 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 apolicacion or permi�. <br /> -��� CL- � <br /> Firsc Mi e Lasc <br /> „� .1 <br /> �ddress�, , 5"5.3s� �I 5�.���-��--19 7 � - <br /> +�--r n r��^, �'ti1�. <br /> Sta� Z�p Phone <br /> Ciry <br /> I undecstand my rights as stated above. , <br /> Signantre <br />