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\ <br /> Sec.13.0�t RIGEtIS OF SUBIECIS OF DATa <br /> Subd. 1. Type of data. The righa of individuai on whom tEe dua is uor..d or eo be sooced shali be as set focth in dtis�n• � <br /> Subd.3. In[ormation reqmc+ed to be�m ind�idmL .\a iad.idual uktd oo wppiy prirace or confidendal daa conxcniog himsdf shaU <br /> be infomxd oF (a)tds purpose snd inieadM use of the Rqne�od dan.�:�ia the collecting Saoe age�r,Poliriul subdivision.or sacewide sysoem; <br /> N)whecher de may c+efiue o'r is iegall7�quiced oo su{�p1Y the reqaesoed dao:(�)a�'laav"n co�q�ence u's'°s fmm 6is supptymg or re[using to mppiy <br /> privue or caafideada!daa:and(d)the ideariry of odur persont or enddu:edwriaed by snoe or fcdenl hw ro�eceive thc data._'Ihis requiremenc shali <br /> aoc appty whea an uidividual is askcd ao suppiy inresdgacire daa.purs�vt oo seccoa 13.�.su6dirision S.m a iaw a�focumeac offiar. <br /> The commissioner of reremie mav olue the nodce teauiced crder this mbdivision in dx iadividwl icxome tax or orooem ax cefu� <br /> insttuctions instead of on d�se fom�s. <br /> Subd.3. A«�ss w data by indieidmt. Upoa zequac m a ir�ousb[e au�oriiy.an iad'nridnai�ati be iafoimed w�caher he it the sscbject <br /> of soored dan on i�ividaals,ud wl�ther ic is classified u puWic.Privae or�nfideccal. Upon Lis tuntrer tequest.an individual who is�he subjecc <br /> of sconed privaoe or publ�daa oa iadiv�uals shall be shown the daa a�i::ouc u►y ca�ge oo him ud:if he daires.shall be infoc�d af du con[enc <br /> and meaniag of d�ac daa. Afar aa iadiridual has bern s6own dx privar�ara and ir.�armed of its maniQg.tbe dan need not be di9closed�0 6im for <br /> six mondu thereaioer oalas a dispute or uuon pur�anc to dus secdon is c-nding or addi�nal dan on t6e mdiYidnai has been collecoed or erea�ed. <br /> 1be respoasble au�oriiy s6att provide coQies of tke privaoe or pubtic dac�c;on teqn-s.by the indiv�tai nobjea af d�daa. The rrsQc►ase'bk aurhoriry <br /> may requir d�e teqnesua;persoa oo pay dx�caut oosa of mai�ng.ce=.s"inS•ar�comp�ing the copies• <br /> The cespontible audariq shail waiply unnud'mctty.if pouible.with am�rquac made p�ttsuant oo dus subdivision,or within five days of <br /> [he da�of die cequesc.exctuding Saairdays.S�udays and kgal holidays.ii ir..�nedia�compliance is roc possFble. If hc nanot coinply with d�e requesc <br /> wichin duc dme.he shall so inform d�e individual,and may have an addi;:cral five da�s withia which oo comply with the reqnest,exeh�ia�Sane�days, <br /> Sundays atd legat ho[idays. <br /> Sybd.4. procedure when data is not accurate or eom�ete. �n individuat mq co�st dit ucuracy or compleoeness of publie or pri��ate <br /> dan conceming hims�lf To exercise chis cig6[,an i�iridnal shaEt noafy ia wiitiang�e tespom�'bk wthoriry dacabing�e uuu�e of du disag�eemeuc. <br /> 'It�e cssponsible audsoricy sl�ail within 30 days eieher. (a)correcc du dae fcund to�e i�ocura�or iocompkoe and aaempc t�nndfY Wst recipie�of <br /> inaccurue or incomptex daa.mcdrdiag cecip�us named by�6e iodirid��l:or(b)cnct�'tbe iodiridaa!d�at he believrs the dsn ao be comet Dara <br /> �dispuce shall be disclosed oaly if�he individual's�temeat of disagr�-ca u iac:nded with iLe discloud data. <br /> The decerminacion of the respoasible aurhodry maY be appea:==Qurwacc co the pmvisans of die admiaisaaave proceduce acc eeladng m <br /> conasaed czses. - <br /> DATA PRIV�CY ADi'ISORY <br /> In accordance wich M.S. 13.04,Subd.2, 'Righcs of subjecu of daca",we would like to inform you that your reauest <br /> for a permic or license from the Ciry of Orono or any oi is depar�ents may require you to furaish certain privace or <br /> confidentiat inforrnation. <br /> You are notified thaz: <br /> 1, 7he information you furnish will be used to de:ermine�our qualification for the permit or license requested. <br /> 2, You may refuse to supply data, buc refusal nay require that the City deay the permit or ticxnse. <br /> 3, The informatioa may be shazed wi[h other Ioc�1,scace or federal agencies to the exunt necessary to process <br /> the permit or license. <br /> 4. if your requested permit or lioense requires Council action to approve, some information may become <br /> . . public. <br /> 5, You have certain rights under M.S. 13.04(a�ailable upon request) to review private data on yoiirself. <br /> 6. Your full name is required to procas this aopiicacion or permic. <br /> -�,•�U �f�.h I��frG,-� <br /> Firsc . I.asc <br /> .�aa��1 �� n o ���/ 5���_5l„ Q�-�73���1�� <br /> c�ry <br /> — — sao� z� rtio� <br /> I understand my righcs as scated above. <br /> �� . <br /> ` _/�' <br /> Sigtnaue / <br />