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. , <br /> . <br /> . Sec.13.04 RIGH'fS OF SUBJECTS OF DaTA ' <br /> Subd. 1. Type of data. 'Ihe righc�of iadividuai on whom the dara is stoced or ro be swred shall be u sec focth ia this secdon. <br /> Subd.2. InformaCon reqirired to be givm individual. An individual uked w supply privare or confidendal daa conceming himself shail <br /> be iaformed of: (a)the purpose aad inteaded use of the requaud daa wichia the collecaag State agenry.polidcal subdivision,or sacewide rys�em; <br /> (b)whe@:er he may refuu oti is_legally tequired co;upply the requesud data:(e)acy Imown coasequence arising from his suppiyiag or nfusing to supply <br /> privace or confidendal data:and(d)the idendry o(o�her persoas or eaddes authocized by srate or federa!law ro trceive the data. This requirement s6a11 <br /> noc apply when an individual is uked to supQiy invesdgarive dan,pursuanc[o secaoa 13.82,subdivisioa S,w a iaw enfoccemeat officec. <br /> The coc�missioner of revenue mav vtac- che nodc- rauired und-r chis subdivision in �he individua! income cax or orooectv raz refund <br /> instcucaons insuad of on those focros. <br /> Subd.3. Aecess to data by individual. Upon requesc to a resQoasible aurhociry,an individual shall be informed whether he is the subject <br /> of swced daa on individuals,and whether it is ctassitied u public,private or confidenaal. Upon his fur�her reques�aa individua!who is the subjecc <br /> ot score�i private or public dara on iadividuals shall be shown che dara wichout any charge ro him and;if he desires,shall be infocmed of the contenc <br /> and meaning o!chu data. Afur an individuat has been showa t6e privare data and informed of iu meaniag,the dara need not be disclosed oo hiea for <br /> siz mondu themafcer unless a d'upuu or acaon pursuanc w this secdon is pending or addirional da�a on the individual has been wilected or created. <br /> The responsible auchoriry shall provide copies of che privare or public da�a upon request by rhe individual subjecc of rhe da�a. The responsible auchoricy <br /> may requiro the requesdng person to pay che acmal coscs of making.cadfyin3.and compiling the copia. <br /> 'Ihe cesponsible auehoriry shall comply immediately,if possible,wich any cequest made pursuant w this subdivision.or wirhin five days of <br /> the date of che tequest.excluding Sanirdays,Sundays and legal holidays,if immediate eompliance is not possible. If he cannot comply with the request <br /> wichin that dme,he shall w infortn che individual,and may have an addidonal five days within wluch to comply wich the request,excludiag Sacurdays. <br /> Sundays and legal holidays. <br /> Subd.4. Procedure whea data is not aeeurate or eomplete. An individual may contest the accuracy or completeness of public or private <br /> data conceming liunself. To exercise this right,an individual shail noafy in wridng che respoatble au�horiry describing the naare of die disagreemeaG <br /> The responsible authoriry shall within 30 days eicher: (a)correcc the data found ro be inaccurdte or incomptete and attempc to nodfy past ncipients of <br /> inaccurcte or incomplete data,including recipiea�s named by the individual;or(b)nodfy the individual that he believes the data to be correct Data <br /> in dispute shall be disclosed only if the individual's sta�ement of disagreemenc is included wirh the disclosed dara. <br /> The decerminadon of the rosponsible auchoriry may be appealed puauant to the provisions of the adminisrndve procedure act relating to <br /> concesud 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 request <br /> for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or <br /> confidential information. <br /> You are notifipd that: <br /> 1. . The infotmation you:furnish will be used to deteri�inc'your qualification for the perm.it or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shazed wich o[her local, statz or federal agencies to the extent necessary to process <br /> the pennit or license. <br /> 4. If your requested pecmit or license requira Council. action to approve, some information may become <br /> public. <br /> 5. You have certain rights 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 pecm.it. <br /> � 1.� �A r-� �= � � � � C. 1 (� k <br /> �uq� �tiadle �� <br /> �� �( d � ns.� <br /> �dKu��� z �-i a- D���� /�I .�t/ �5"�3� `{ �/-- 7 7 3 � <br /> Ciry Sace Zip Phone <br /> rstand my rights as stated above. <br /> , fl <br /> ` L� <br /> Sig re <br />