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� <br /> Sec.13.0:RIGHTS OF SiJB.TECTS OF D:�Ta <br /> Subd. 1. Type of daca. The righct of ir.dividual oa whom[he data is srored or to be s�rd sha[l be u set forth in this secdoa. <br /> Subd.2. Information reqirired to be�ven iadicidual. .'�n iadividual azked to supply private or coafideaaal dara concecn�g himsetf shall <br /> ba ieformed of: (a) �e purpose and inmedcd use of the rzquesr�daca wi�in che collecdag�tate ageacy,poiidcal suFdivisioo,or sacewide rys.:m; <br /> (b)whec'�er he may r_.`use or is legally rcqui;:d to supply the r.quesud data;(c)any fmown eonsequence arising from his supplying or refusiag to supply <br /> priva:e or conridendal dzra;and(d)che ideedry of ocher pe:soas or enodes aachoriz:d by s�ce or federal law to receive the dara. This r:quirement shall <br /> noc apply when an i.dividu3l is asked ro suppty invesdgadve da�,pursuanc to s:cdon 13.82,subdivision 5, to a law enfotcemeac of�ccer. - <br /> 'ihe eom^,.issioner of re�•enue mav olace the norice r_ouir_d under ehis su�division in che individu�l incone ax or orooe;cv taz refued <br /> ins:rscdor.s insc_ad of on�hose foRns. <br /> Suhd.3. Access to data by inditiidual. L1pon request to a responsible auchoriry,an individual shall be infor,aed whech=r tie is the subjecc � <br /> of s�rcd dsc�on individuals,and whcther ic is classifi:d�s pubtic,private or conFdenaal. Upon 6is furcher tequest,an i*.dividuaI who is the subje:� <br /> af s:ored private or public dac►on individuaIs shall be shown the dac3 wichout any charge to tiim aad;if he d:sires, sh�1l be informed of the eoncent <br /> and meaning of that data. Aher an individual h�s been shown the privac;data and informed of ics meaning,the data need not be dis:losed to him for <br /> six monchs a':erea[Lr u:iless a disput.^.or acdon pursuanc co chis sccdon is pending or addiaoaal dan on the individual tas beea coflecc�d oc ereared. <br /> The r_spons:bte au�horiry shall provide copi:s of the privace or public da�upon request by che individua!subjecc of the da�. The responsible auc�oriry <br /> may rtquire che reques:ing peaon to pay the accual coscs of making,cerdfying,and compiling che eopies. <br /> The responsib(e auchoriry shall conpiy immedia�e[y,if possible, wich any request madz pursuant to this subdivision, or wichin five days of <br /> the c'ace of�he requesc,ezciudir,g Sa[urdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the�equesc <br /> wichin�hat time,he shail so inform[he individuai,and may have an addidonaI five days within which to comply wich the requesc,ezcitding Sa[urdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure r�hea data u not accurate or complete. An individual may contest tht accuracy or completeness of public orprivate <br /> dac�cor.cerning hir.:self. To eze;cise this ri¢hc,an individuai shail noa'ry in wridng[he responsibte auchoriry describing the na�ure of[he disagre:meac. <br /> Zhe responsibfe aucnoriry shall wichin 30 days either: (a)corr•a che dsta found to be inaccucate or incomplete ar.d attcmpt to nodfy past recipienes of <br /> inaccurate or incomplece da�a, including recipiencs narr;:d by the ir:dividual; or(b)aotify the individual that he bclieves the data to be correcc. Data <br /> in dispute shalt be disclosed only if the individual's s�acem�nt of disagr:er,.ent is included with the disclosed dac�. <br /> The determinadon of the responsibl� authoriry may be appealed pursuanc to 4�e provisions of the administrarive procedure act relaang to <br /> contesced cas�s. <br /> DATA PRiVACY ADVISORY <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 of ics departments may require you to fumish certain privace or <br /> confidential informacion. � <br /> You are notified that:- <br /> 1. Zhe information you furnish will be used to determine your quatification for the permit or license requested. <br /> 2. You may refuse [o supply data, buc refusal may require that the City deny the perm.it or license. <br /> 3. Zhe informatioa may be shared with ocher local, state or federal a�encies to the ex�ent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permic or license requires Council actlbn to approve, some information may become <br /> public. <br /> 5. You have certain riQhts under M.S. 13.04 (available upon reqaest) to review private data on yourself. <br /> 6. Your full name is required to process this applicatioa or permi�. <br /> L-� !'�-I�Y �U f-��" ��('�-C� . <br /> First , � �fiddlf ...� Last <br /> �1��� � ,U �'��- ��.� l�-� /1�� <br /> Addre � 1 �, � �,/ <br /> �'� � ��� � /� ��7 � `-7G�> � `�'' � <br /> Ciry Stace Zip Phoat <br /> I understand my ri;hhcs as stated above. <br /> ���. ��.�% <br /> � <br /> slgnaa:re <br />