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• • Sce.13.04 RI(3g'f8 OI+5UB7EGTS�1+bATA <br /> • Subd.l. 'lype of data. The righc�of individuat on whom�he dsta is stoned es to 6z at�+ed a6a11 be aa set forrh in this s�ction. <br /> Subd.2.lnfmtuati�snquaedwbeg�ra�individuel.Aaindividualaslc�dwsupplyp�fvaoeoccamfidcrtielddacanoeminghimselfslmllbe <br /> informtd of: (a)the pia�poae m�d ir��ae a�'rhe sequessed data wirhin ihe wllocTing s�Ie agenry.Politi�]subdiv9sio4�s(atewide sYs�em;(b) <br /> whether he tnay tefu�c or is legallY�N�m�Y the roques0ed dsta:(o)anY known consequotue sdsitlg ftom his suPP1Ying�t�siqg bo e�ply <br /> privss�arconfidernial data:�d(fithe idendty ofotbarpasons orentioes author�d by ct�re orfedc�al lnvtoreoeivethe da1a.7'hi,:nquina,erasl�atl <br /> not epply when�individnal is a4kcd to supply investigative data,p�asuanc w acccmn 13.82,subdivis�on 5,to n law enforaeer.nc ofttcer. <br /> 'f1�e commissio�er of revenue mav nlace the notice reeuired under thj�e�vhdivisinn jn the individ�sl income t���pt,pmpr,�ty tez refund <br /> Subd.3.Acoessmdetabyindividual.Upoarequesttoaresponsibleaud�mity,mindividuelsl�allbainPormedwhdher6eisthesubjec�of <br /> st�ed daa on individucla,aad wh�ther it is classified as public,privaEe or eor�"idcnaal, Upon ha fiuther roquen,an individuel who is ct�subject of <br /> stand p�ivme a public dam on in�viduele 9ha11 he ehrnm tl►e c�ara withw3 airy ct�slge to him and.if ho desires.shal l bo infomoed of tl�coaretu u�d <br /> mean�,g ofsh�dote.After an individuel has beon shmvn tha priva�e data and L�btmed of ia maning,the data need na be disclo�d to him for six <br /> mo�nths theteafter uNess a dispu�e or ecdon piasnant to th3s sectioa is pending oradditional dam oa the individuel hes bxn ooUoctcd ar cnxoad.13e <br /> raponsible au��iry shati p�ovide oopies of the private a puWic dam upon roqttest by tho individusl subjeat of tho d�. The responslble a�thorrty <br /> �Y���n4ucs�g pe�we to pay the actusl o�s of making.certifying�and rnmpiling the eopies. <br /> 'ibwespor�iblc awharfry shall wmply immedieteqr,ifpossible,with a�requesc made pvrsuaet w this subdivision,arwithc►five dsye of <br /> tha data oftharequesC�cluding3aturdaya,3uodays sodlegal holidays,if imraediatec�plienceis not pos�iWe.Ifhe c�mcaa�ly whhrheroquest <br /> widtie that tia�,lu shel!so intarm Hu individ�l,�d may have m edditiooal frve days witldn which to camP�Y���N�o7oc1udm8 S�Yg• <br /> S�mdaya and legal holidays. <br /> 3ubd4,Frocedurewl�ndataisaotaccauateorcomplete.Anindividuolmayoa�te�ttheacciauyoreomplexoessofyublicorp�ive�edsta <br /> concetning Limself.To eacercise this rigl�ea iadivid��al shsll�6fy ia w�itmg Ihe napo�nsibk enthvrity d�scibaigshe nm�ue oftho disagreeanenx 13e <br /> mepor,sible aufho�iry shetl wishin 30 days eid�ec (a)cortrcc tho daffi found to bo inaccuca�e or iocomplete and atcea►pt u eotil�post neipicute of <br /> ins�ctnata or iacomple�oe dats.including recipieaas naeced by the individusl:or(b)mtity du�ndividual that 6e bdievice the dam to be coc�ac�Dusin <br /> dispute shall be dlsclosed ady if du mdividosl's seate�at of du�art is includnd with the disclosed defa <br /> I'he detumc�etioa of tbc�esponsiblc eutf�oriry msy bo appoaled putsuant to thc plovtsions of the adminlsastive prtocedare act releting to <br /> aonoesoad case�a. <br /> ' � DATA PRIVACY ADVISORY <br /> In accordtance with M.5.13.04,Subd.2,"Rip�ts of subjects of data",we would l�ce to inform you that your reques[ <br /> for s permit or liccase from the City of Orono or atry of its departrnents may require you to fwnish cettaln private or <br /> confidcntisl inforrnation. <br /> You are notified that: <br /> 1, 'The informarion you furnish will be used to determine your qualification for the permit or license <br /> requested. <br /> 2. You may refvso to supply data,but refusal may requiro that the Ciry dcny the permit or license. <br /> 3. Tha information may be shared with otl�er local,state or fedzrsl agencies to the extent necessery to <br /> process the permit or license. <br /> 4. If you�requested permit or license requ'ves Cotmcil action to apprpve,some it�formation may become <br /> public. <br /> S. You have certain dghts under M.S.13.04(available upon request)to revlew pdvate data on yourself. <br /> 6. Your full name is required to process this applicadon or permit <br /> � CG _ _ , <br /> 'e �, � �.=' ��� ��� �aat <br /> AddreSic <br /> � �rs��, r�l� � �lao �3�Is-l_ao��� <br /> �ty Sa�e Zlp Phooe <br /> I�taderstand m ghts as stated� <br /> Ci�f� <br /> Slgooture <br /> ! 32 <br /> ( �/� 'd 88EE '�N eui }} i�aad sauo� aaPl3 Wd8Z�Ol 9001 '9l 'a�W <br />