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f <br /> Sec.13.Ot RIGF�I'S OF SZ,'BJECTS OF DAT?, <br /> Subd. 1. Type of data. The righcs ai icdividuai on wham che daca is s•ord or a�t�e srored shall be u sec forth ia chis secaon. <br /> Subd.2. Iaforma�oa req�red to be�vm individual. An iadividual ufced w suppIy privatt or confideadai dam eoacerning himself shall <br /> be informed oF. (a)che purpose and iar_nded use of the requested dam withia rhe coIIecda3 3nc:agency,patidcal subdivision,or sarewide rystem; <br /> �b)whe�er he may rfiue or is Ieg3IIy required m supply rhe r�quesced dan;(c)any l�awn consequence arisiag from his supplyiag or refusing to supply <br /> privarn oc conndendal data;and(d)che ideadry af ocEer persons or enades au�horiz:d by scace or federal law co receive che dan. This requiremeac shall <br /> not apply whzn an indir•idual is asked to supply iar•arigadve daa,pursuanc to se:�oa 13.82,subdivisian 5,tn a law enforce�:ac officer. <br /> 'Ihe cammissioner of rzvenu- nav ola--che noace rauired under chis subdivision in the individual income ax or vrooem taz cefur.Q <br /> . instrucuans ins.ead of on�hose foRns. <br /> Subd.3. access to data bp iadividual. L'pon request w a respansible auchoriry,aa individual shall be informed whether he is the subjecc <br /> of scor_d data on individuals,and whesher ic is clusified as public,priva�e or con;:deadal. Lpan his further tequest,an individual who is the subject <br /> of stoced privace or public daa on indir•iduals shail be shown rhe dam wi�haut any charge ta him and:if he desires,shall be intormed of the concenc <br /> az:d me�sing of�hat data. Aher an individual hu been shown rhe priva�e dact and iaformed oi iss meaning,the dan need noc be disclosed oo him for <br /> su monchs die�after unleu a dispute ar acrion pucsuanc co �his secdon is pending ac addidoa�l dan on the individual has been collected ar creared. <br /> "Ihe responsibte au[horiry shall provide copies oi ehe privace or public dara upon re:,uest by the icdividual subject of che dan. T'ne responsible auehoriry <br /> may require�he requesting Qerson m pay ehe acalal cosu of mafcing.cerrifying.u:d compiling the copies. <br /> The responsible au�horiry shall comply iaunediacely,if possible,wich a:y:equest made putsuant ro chis subdivision,or wichin five days oi <br /> the dar_of che rquesc,e�c(uding Saeu�days.Sundays and legal tialidays,if immed'u�compliacce is noc possible. If he canaot compty wich the«quesc <br /> wirhin chat dme.he shall so inform[he individuai,and may have an addidoaal five days wichin which[o compiy wic'�the request,ezcludiag Saturdays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure whea data is not accurste or complete. An icdiv;dual may contest ehe accuracy or compleceaess of public or pri�ate' <br /> dac+cor.ceming himself. To ezer•ise�is righc,an individuai shall nodfy in wrida;�:e respoasble aurhariry describing che nanc:e of the disagczement. .. <br /> The responsibte authoriry shall within 30 days eifl:er. (a)correcc the data found to te inaca:rs�or incomp(eu and aaempt to nodfy past mipienu of <br /> inaccurac-or incompleu dan, including recipiena named by rhe individual:or(b)eoafy d:e individual thac he believes ehe daci to be correec. Dan <br /> in dispure shall be disc:osed onty if rhe individual's satemene of d'uagreemen�is�.c(uded wich ehe disclosed dara. <br /> The dece:minadon of che responsible auchoriry may be appealed pursui.c co the provisions of the adminisaadve proceduce act reladng to <br /> conces::d cases. <br /> DAT� PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04,Subd.2, "Righcs of subjecu oi daca", �c•e would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of ics depztments may require you to fumish certain private or <br /> confidential information. <br /> You aze notified that: <br /> 1, The information you furnish will be used to determine your gualification for the permit or license requested. <br /> ? You may refuse to supply data, but refusal may require that the Ciry deny the permit or license. <br /> ;. The infarmacion may be shared wich ocher local, scace or federal a�encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or license requires Couacil action to approve, some information may become <br /> public. <br /> j. You have certain ri�hts under M.S. 13.04 (availabl: upon request) to review private data on yourself. <br /> 6. Your full name is required to process this applicacion or permic. <br /> F-�� rtiadle �t <br /> ?�ddr:u . <br /> Clry Sac� Zip Phoaa <br /> I understand my ri�hcs as staced above. <br /> Signamre <br />