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• . <br /> � Sec.13.04 RIGHTS OF SUB.IECTS OF D.�T?, ' <br /> Subd. !. Tppe o[data. The righcs of individual on whom the data is swced or co be smced shall be u sec focth ia this secrion. <br /> Subd.2. InformatIon required to be Y[vw[ndividuai. An individual uked to supply privarc or confidenrial dara concerning himself sha11 <br /> be informed of: (a)che pucpose aad ia�ended use of�he requesced dara wirhia che collecdag Sure ageary.polidcal subdivision,or sra�ewide rystem; <br /> (b)whechet he may refuse ot is.kgally requicsd to sapply the requesud data;(c)any Iaiown coauquence arising from his supplying or rett�siag to supply <br /> private or confidendal data:and(d)the idendry of other persoas or eaddes auchocized by state or federal law to rrceive tbe daa. This cequiremenc shall <br /> noc aQply when an individual is uked[o supply invesagadve dan,pursuanc ro secdon 13.82,subdivision S, m a law enfoccemeat officer. <br /> The corimissioner of rcvenue mav �lace che nodc• reauired under chis subdivision in the individuat income �c or orooertv tax refund <br /> instcucdons inscexd of on[hose forms. <br /> Subd.3. Aecess to data by iadividual. Upon request to a tesponsible aurhoriry,an individual shall be informed whether he is the subjecc <br /> of stoced data on individuais,and whecher it is ctass�ed as public,private or confidenCal. Upon his tt�rther request,an iadividual who is the subjecc <br /> of stoced private or public data on individuals shall be shown the data wirhouc any charge w him and;if he desires,shall be infocmed of the contenc <br /> and meaniag of diat data. Ahe�an individual has been showa che priva[e data and informed o(ics meaning,che data need not be d'uclosed oo him for <br /> six mondu theteafur utileu a dispute or acaon pursuanc w this secdon is pending oc addidoaal dara on the individuai has been collecced or crcated. <br /> The responsibie authoriry shall provide copies of the privare or public dara upon request by the iadividual subject of the data. The nsponsible authoriry <br /> may require rhe requesting persoa to pay rhe accual cosu of making,certifying,and compiling the copia. <br /> The responsible authoriry shall comply immediacely,if possible,with any cequest made pursuanc w rhis subdivision,or withhin five days of <br /> the date of the cequesG exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possibta If he cannoc comply with the cequesc <br /> wi[hin that dme,he shall so inform the individuai,and may have an addidooal five days within which to comply wich the cequest,ezcluding Saturdays. <br /> Sundays and legal holidays. <br /> Subd.4. Proeedure when data is not accurate or complete. M individual tnay contest the accuracy or completeness of public or private <br /> dara conceming himsdf. To exercise this righ�an individuai shall noafy in wridng the respoosible aurltority describing the naare o[the disagreement <br /> The eesponsible auchoriry shall within 30 days eieher. (a)comect the data found to be inaccucdte or incomplete and atcempc to nodfy past recipientt of <br /> iaaccurate or incomQlece data, inetuding�ecipienrs named by[he individuat;or(b)notify the individual thac he betieves�he data to be eocrect Data <br /> iu dispuce shall be disclosed only if the individual's stacemenc of disagreement is included wi[h[he disclosed dara. <br /> The determinadon of the rosponsible auchoriry may be appealed puauanc to the pcovisions of the adminisuarive procedure act nlaang to <br /> contesad cases. • <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04,Subd.2, "Rinc�s of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its departmeats may require you to furnish certain private or <br /> confidencial information. <br /> You aze 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 data, but refusal may require that the Ciry deny the perm.it or license. <br /> 3. The information may be shared with other local�state or federal a;encies to the extent necessary to process <br /> the permit or license. <br /> 4. If your requested pecmit or license requires Couacil action to approve� some information may become <br /> pubtic. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full namt is required to process this application or permit. <br /> . <br /> o��r- D� �� � ��v�ud <br /> Firsc �Si dle 1.asc <br /> ��o�� ,��a� `��-- <br /> Address� 1�' ��`2�� ,/ 7�—�� Z � , <br /> 7 i � T' � <br /> �i�y Snce Zip Phone <br /> I underscand righcs as staced ove. <br /> Sigtuaa <br />