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. �► , <br /> , • � <br /> Sec.13.Q4 RIGFiTS OF SUBJECTS OF DATA ' <br /> Sntd. i. Type of data. The righ�s of individuai oa whom the data is stored or ro be stnr•d shall be as sec forrh ia this sccaoa. <br /> Subd.2. Information reqiured to be given indiridual. An individuaI uked to supply privare or coafidendal dam conceming himsetf shall <br /> be infora::d a,`: (a)the purpose aad iateaded ust of the requested dara wichin the colleccing Satr agenty�poliQcai subdivision,or smGwide rys�m; <br /> . (b)whet�er he tray reEuse or u.legaily requir:d to supply.che r_quesud data:(c)aay Icaown caasequence arising from his supptying or retiesing to supply <br /> privace or eoa=�der.dal daa;ar.d(d)che idendry of o�erg::�ors oreeddes aa�ori.zed by stau.or fedecal!aw to re:eive t�e da�. �i.s r_quiremeac shalI <br /> no�apply wt.en an ir:dividual is uked co supply invesdgadve daca,putsuant ro secdon 13.8?,subdivision S, w a law enfac�emenc afncer. . � <br /> Tte cenmissionec of revenue mav piac� che nodce r_�uir_d under this subdivision in the individual income ez or orooem taz refund <br /> inscrucaans instexd of on chose forms. <br /> Subd.3. Access to data bp individual. Upon requcsc to a responsible auchoriry,an individuai shall be informed whecher he is rhe subjecc <br /> of star.d dan on individuals,and whecher it is class�ed as public,privace or conF.denaal. Upan his funhcr r_qu�s�,aa individual who is che subje:c <br /> of stored priva;e or public data on iadividuals shall be shown chc dae wichaut any charge to him and;if ha desires,shalI be infocmed of the contenc <br /> ar.d meaning of that dara. Aher an individual has been shown the privace dat�and informtd o[its meaaiag,the data nead not be d'uclosed to him for <br /> su monchs chereaher unless a dispute or acdon pucsuanc to this secdon is pending or addidonal daa on the iadividuaI has been coilecmd or ereac�d. <br /> The resporuible authoriry shall�provide eopies of the privac�or pubfic daca upon mquest by che individual subject of che daa. The respansibie authoriry <br /> may requir_ che requesdng person to pay che accua!coscs oi making,eertifying,and compiling the copia. <br /> The responsible auchoriry shall eomply immediacely,if possible,wich aay requesc made pursuant co chis subdivision,or wichin five days of <br /> the dace of the tequesc,ezcluding Sacucdays.Sundays and legal halidays,if immediace compliaace it not possibie. If he eannoc comply wich the requesc <br /> wichin that ame,he shall so inform the individual,and may have an addidoaa!five days wichin which to comply wich the reqaesc,excluding Saturdays, <br /> Sundays and legal holidays. . <br /> Subd.4. Procedure when data is not accurate or complete. An icdividual may eonc�sc the accuracy or complet�ness oFpublic orpriva�e <br /> dara conceming tiimsetf. To exercise this righc,an individual shaIl aodfy in wridng ehe responsible auchoriry describing[he nature of the d'uagreemea� <br /> The respoasible au�horiry shall within 30 days eict:er: (a)correcc che data found to be inaccuraG or incomple�e aad aaempc to nodfy past recipiencs of <br /> inaccurnce or incomptae data, including recipieacs named by�he individu�l; or(b)noafy the individual thac he believes the dara to be correcc. Daa <br /> in dispu�e shalt be disdosed only if the individual's scatemenc of disagreemenc is included with the disclosed data. <br /> The determinadon of the responsibla au�horiry may be appealed pursuan�to the provisions of che admiruscrarive procedure act relating to <br /> eontesud cases. • <br /> DATA PRIVACY ADYISORY � <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your requesc <br /> for a peraut or license from the City of Orono or any of its deparcments may require you to furnish certain private or <br /> confidential information. <br /> You are notified thar. <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 data, but refusal may require that the City deny the permit or license. <br /> 3. The information may be shazed with ocher local, scate or federal a�encies to the excenc necessary to process <br /> the permit or license. <br /> 4. If your requested perm.it or license requires Council action to approve, soaie information may become <br /> public. � <br /> 5. You have certain 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 application or permic. <br /> . , � <br /> �d+r�t' L � i` 1 L.l..G�� ��y E IZ�1;j ��'�i <br /> Firsc � )�fiddle c • <br /> `��U�` Z f�{�1� �V� /�l t� <br /> A dreu � <br /> �,�L�j���}� r`�1n, j�j�'ZZ. ,�j�j j` �C:� <br /> Ciry f Sace Zip Phoae <br /> I u derst y ri�ht�tated above. <br /> f/ � �� `^,' , <br /> Si ture <br />