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� � <br /> Sec.13.0�L RIGFiTS OF SL'BJECTS OF DATa <br /> Subd. 1. Type of d3ta. The righcs oi iadividual on wham che datt is s'•ord or oo t�e sco�ed shail be as sec forth ia chis secaoa. <br /> Subd.2. IaPormaaon reqirired to be Eivm tadividual. .1n individual uY:d to supp[y private ar coafideadal dam couceraing hi�celf shall <br /> be iaformed of: (a)che purpose and inr:aded use of�he requesmd daa wichia che cotlecdng 3zsm ageacy,polidcal subdivision,or sratewide rystem: <br /> �b)whe:her he may refisse or is legsIIy eequicsd m suppty ehe requesced dara:(e)aaY Imo"�n c°asequeace arisiag from his supplying or refusing to supply <br /> privare or conr.denual dara:and(d)�he idendry of actrer peaoas or enddes auehariz�Sy scam or federai law to receive rhe dacs. This requiremenc shall <br /> not app[y when an individual is u3:ed to supply incarigadve dara,pursuanc ro secdon 13.82,subdivision S,to a taw enfocceaeac officer. <br /> The commissioner of re�enu riav ols' [he nodc rauired under this subdivision in the irtdividual income_ex or pcooertv mz refur.d <br /> instrucdons inscead of on chose farms. <br /> Subd.3. ?�ccess to data br•individuaI. lipon requeu�e a rzsponsible auchoriry,aa individual shall be informed whecher he u the subjecc <br /> of stocod data on individuals,and whecher it is classified as public,privace or can::deadal• L,'Fon his funher�zquest,aa individual who is the subjecc <br /> of stored privace or public daa on indir•iduals shalt be stiowa the data withouc aay ciuge m him and:if he desires,shall be iniormed of ehe concenc <br /> ar.d meuung of dtat daca. Aher an individua!hu been shown che priva[e dae and iaiorsned oc iu meaaing,the dara need noc be disclosed oo him for <br /> su mondu che�sahec unless a d'upute or acdon pucsuanc rn ehis secrion is pending o�addidoa�l daca on the individual has been collecred or creared. <br /> The responsiblt au[horiry shall provide copies af�he privace or public daea upon mquesc by che iadividual subjecc of ehe dam. Tne respansible auchoriry <br /> m�y cequire rhe«quesring person to pay the acnial cosa of mafcing,cetdfying.u:d compiling the copies. <br /> The responsible auchoriry shall comply iav::ediately,if possible,wi�h aay;equesc s�de pursuanc to this subdivision,or wiehin five days oi <br /> the da`of che r.ques4 excluding Saturdays,Sundays and legal holidays,if immed'uc�campli�ce is noc possible. If he caanot comply wieh the reques� <br /> wichin thac dtne,he shail so irtform ehe individuai,and may have an addidonai five days wichia which to comply wic'�che request,exc(uding Saturdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Proeedure w�en data is not accurate or comptete. An individual may contest the accurscy or compleceaess of public or pri�•a[e ' <br /> dara cor.cerning himself. To exerise c'�is righc,an individuai shall nodfy in wridn;�::respaesble auchoary describing che nam:e of the disagieemenc. .. <br /> The tesponsibte aucttoriry shall wichin 30 days eir.`er. (a)corrncc che data found to te inac:c:r3G or incompte�e and aaempt to nodfy past recipienc�af <br /> inaccurace oc incomplete dars, inciuding cecipiena named by che individual:or(6)eoufy d:e individual thac he believes[he data to be correcc. Dan <br /> in dispuce shall be disc!osed only if the individual's stacemenc of disagreemenc is�:luded wic.�rhe d'uclosed dara. <br /> 'ilie decerminadon of ehe responsible auchoriry may be appealed pursu3.c to the provisions of the administrarive procedure act reladag to <br /> contesc:d cases. <br /> DATA PRIVACY AD`'ISORY <br /> In accordaace wi[h M.S. 13.04, Subd.2, "Righa of subjeccs oi data", w•e would like co inform you that your request <br /> for a permit or license from the Ciry of Orono or any of ics depz�men[s may require you to furnish certain private or <br /> confidencial inforraation. <br /> You are notified that: . <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 daca, buc refusal may require that the Ciry deny the perm.it or license. <br /> ;. The information may be shared wich ocher local, scat�or federal a�encies co the extent necessar}r to process <br /> the permit or license. <br /> :�. If your requested permit or licease requires Couacil action co approve, some information may become <br /> public. <br /> 5. You have cenain riQh[s uader i�1.S. 13.04 (availabl� upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permit. <br /> Firsc �tiddle �t <br /> Addr:ss • <br /> �iry Sa` Zip Pkone <br /> I understand my ri;hcs as staced above. . <br /> Signantre <br />