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Sec.13.04 RIGATS OF SVBTECIS OF DaTA, - __ . .-_ .- -- - • . ' . <br /> Sabd. 1. TTpe of data. ?he sighcs a�i�d����on whom the data is smced or oo be smc:d shall be as sec[oc�h�this secdoc. � <br /> Subd.2. Information nqmred to be givm iadividual. ,1n�dividuaI uked to suP41Y Princ.or confideaeal daa eocceraiag himsetf shail <br /> be iafac�:d o� (a)the parpasc aad iac:aded y,se of the r..,^u�dan withia the cotlecdag;ta�ageary.polidaI subdivisioa,or sratwide ryst:m- <br /> ' (b)whe�e:he r..ay r.hise aT u le3aFiY requu=d yo suPPjY.�=�esced dnta:(cj any I�awa eaasaqueece arisiag(rom his suppiyiag oe refusiag W suppty <br /> privac:or ee:s::deacal daa;arid(��:idenary o[ocherpersocs or e:ddes nn�arix:d by snie orl:�e='I:z�r._:ive the d3a. This r.quite�eac s.haI! . . <br /> ..not a,�pty w:.ea an ir.dividua!is uked to suppty iavesagiIIve daa,yuisuaa�oo secdaa 13.82.subdivision S.ao a hw eafac�emeat officer.' ..-•,• :. . � . <br /> '[he eec:tr�tissiorter of reveette mzv 1ace.die noeee r.auir.d und:r this subdivision in the individual income ttz oc cooeetv taz tefur.d <br /> tnmuedans iascead oten those foesRs. <br /> Subd.3. Aceess to data br tadividual, Upen requesc oo a respansible authoriry.an individual shaIl be infotmed whe�her he is che subjecc <br /> e[stor:d daa on iudiv{duaIs.arid whaher ic is ei�ss�fc:d u pablic.privac:or conF.dendal. Upon his furrher r.ques�aa iedividual who i���yubjecc <br /> af sioce�i priva::ar publie daa on individuals sha11 be shoara ehe daa wirhout any chacge to him and;i[he daires,shall be intocaud o[the eonaac <br /> aad meaaiag o[dut dara. Ahec aa�ndividval his beaa shown che priva�e dan acd Informed ot Ia meaaiag.che daa ne:d aot be disclosed oo him for <br /> siz moadu thereafuc unIess a d'ispute or udoa purs�u3nc to�his secdoa is peading ot addidooal dar�oa the IadividuaI hat beea eellected or erea�d. <br /> The cespoasbie andsociry shalipcovide eopiu of�he privaL orpubtie daa agon teqaat by the tadividual subjece o[�he daa. Ttie cespoesRb(e authociry <br /> may require the requesdng person to pay rhe acanl cosu et making.eecdfying,aad comp�iag the eopia. . � <br /> Ttie cesgonsibte aurhoriry s2u11 eomply tmraediacety.tf poss3Te,wi�h aay request asade pursuant co this subdivisioa.or wiehin five days of ' <br /> the dar�of die teqaa�ezcludiag Sacurdays.Sundays and k3al halidays.i!'uamediare compliaace u noc pouibte. If he eaaaoc eompty with tiie request � <br /> wichia that drue,he shall so infocrn�ke iadividual.and may have an addidoaal tve days wirhin whith to eompty wich the request,exeludiag Satu�days. ' <br /> Saadays aad IegaI holidays. � , . . . • � <br /> • . <br /> Sutd.4. Procedure r�hea cUta i�aat aecunte ar eomplete. An iedtvidual may eontest the aceunry o�eompleteneu ofpnblIc orprivace <br /> dza conceming li�mseIf. To ezercise dus dgh�an�sdivi�,u1�1 aa�y��$�e res�Oas�3le auchociry daeribiag the oaaire o!die d'uagreemeac ' <br /> The cespoasible au�horiry shall wichia 30 days eie.4ec: (a)cocreec che daca found to be inaceunre or iacompte�e aad att:mpt to nodfy pasc reeip;encs ef <br /> tnaccuate oc tncomptete data.inctuding�eeipieacs narned by�he iadividual;or(b)uoafy tht individuai thac he believes the dat�to be correct Dats <br /> ia dispu�e shalt be disclosed oaly it the individul's sacee.eac o!d'�sagreecn:at is tacluded aith the diselosed daa. <br /> 'Ihe decerminadon of the rtspocuible auchoriry may be appealed purncanc to the provisioas of tht admiaisondve procedum aet t+eladng to <br /> eorttescd cases. ' . . , . . <br /> DATA PRIVACY ADYISORY � . � , <br /> ; <br /> In accordaace with M.S. 13.04�Subd.2, 'Ri�hhu of subjeccs of data",we would Iike to inform you that your request <br /> for a permit or Iicense from the Ciry oE Orono or any of its departments may require you to furnish cercaia private or <br /> confidential informatioa. <br /> You are notified that: � <br /> ,� <br /> 1. 1he inforruation you furnish will be used to determine your quaIification for the permit orlicense requuted. i <br /> 2. You may refitse to suppty data, but refusal may require that the Ciry deny the permit or license. � � ; <br /> 3. The information may be shared w7cfi ocher local,state or federal ageacia to the etteat necasary to process ,± <br /> the pecmit or license. ' <br /> 4. If your requesced pecmit or licease requires Couacil actioa to approv�, some iaformatioa may become �. ;� <br /> . public. ' � •� _ �. � . .. . , . � � � � � <br /> . .'S. Yoa.have certain nghts under M.S. 13.04 (availabie upoa requat) to review private data oqyourself. . . <br /> 6. Your ful! narae is required to procas this application or permit. � <br /> : . . i <br /> F�� � �r�aa�t i,,n . <br /> . aaa� � .�«. .... <br /> Ciry Scue Zip P�oae <br /> I de st y ' s ed above. <br /> /L�-0 ; . � <br /> Signacure . <br />