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'� •St <br /> . � ' <br /> Sec.13.04 RIGFiTS OF SiTBJECIS OF D�TA <br /> Subd. 1. ?ype o[data. The righcc of individual on whom che data is scoced or to ba s:or.d shalI be as sec foc�ia this secaon. - <br /> Subd.2. Iaformation required to be pvea iadiddual. An individual asked to suppty private o�coaFdeadal dard eonceraing himttl[shall <br /> be icformed o!: (a)eh�pnrpose aad inreaded use of che requesc�daa within che cotlecring Srate ageury.polidca!subdivision,or sac-wide rys.em; <br /> (b)whecher he may r_fuse or is(e3alIy czquir_d m suppty ehe r:quest:d d3n;(e)any]mowa eoasequence arisiag fromhis supplyiag or reCusiag to suppty <br /> privar_or eon.zdendal daa;u:d(d)the idendry of other persoat or enrides aachociz:d by sc;ce or fedecal law ta receive the dara. This requirement shall <br /> -not apply when att individual is asked to supply iavesrigadve dan,punvant to secdon 13.83,subdivision S.to a law eaforcement offccer. — . <br /> The eommissioner of revenue mav olace the rtocce reaui�:d under this subdivision in the individual incone ctx or oraoem az tsfued <br /> inscrucciors inscezd of on chase forms. <br /> Subd.3. Aeeess to data by iadiv-idual. Upon request w a responsible auchoriry,an individual shall be infocraed whed:er he is the subject � <br /> of scor:d daca on individuals,and whaher ic is etusified u pubiic,private or confedenaal. Upon his turcher tequest,aa individual who is the subjeu <br /> a!scor.d private or public daci on individuals shall be shown che data widsaut aay charge to him and;if he desires,shall be infocmed of the conttnt <br /> and meaniag o[that dara. Aher an individua!has been showa�he private data and iaformed of ics meaning,the data nead not be d'udased to him for <br /> six monchs t�ereat�er unIess a dispuu or acrion pucsuanc w chis secdon is pending or addidonal dara oa the individual has been colkec:d or ereared. <br /> The r_sponsibl:att�horiry shall provide copies of the private or public data upon reqaesc by the iadividual subjecc of che dan. Tbe responsibte authoriry <br /> may cequire che cequuang pe�son to pay the accual cosc�of making,cecdfying,aad compiling che copies. <br /> 'Ihe responsible auchoriry shall ce,aply immediacely,if possible,wich any nquest made pursuant to chis subdivision,or wichin five days of <br /> che dac:of che request,exctuding Sacurdays,Sundays and legat holidays,if immediate compliance is aoc possible. If he canaoc comply with the requesc <br /> wichin thac titne,he shail so intorm�he individuat.and may have an addidonal f ve days widun wluch to comply wich the requuc,e�eiuding Saturdays, <br /> Sundays and legal hotidays. " <br /> Subd.4: Proeedure r�hen data is not aeeunte or eomplete. An individual may contest the accuracy or compleceness of publie or privace <br /> daca concerning h'ir•sselE. To ezercise this righi,an tridtvidual shall nodfy in wridng the responsible au�horiry describing the natuce of the disagceemeac <br /> The responsible authoriry sh�ll wi�hin 30 days eichec: (a)eorrect the dan faund co be inaccance or incompiae and acumpc to nodfy puc ncipiencs of <br /> inaccurate o�ineomptete daca,including recipiencc named by the individual;or(b)aoafy[he individual that he believes the data to be coaecc Data <br /> in dispuce shalt be disclosed only if�he ind'e�idual's sa�emenc o[disagre:rr:en�is induded wirh eh:d'uclosed dzn. <br /> The dececminadon of the responsible authoriry may be appealed pursuant co the provisions of che adininisQarive procedure act reladng to <br /> eontested easts. � <br /> DATA PRIVACY ADVISORY � <br /> In accordance with M.S. 13.04,Subd.2, "Righ.ts of subjects of data",we would like to inform you that your request <br /> for a pemut or license from the Ciry of Orono or any of its deparcments may require you to furnish cenain private or <br /> confideatial information. <br /> You ue notified that:• <br /> 1. The information you furnish wiil be used to deternliaeyour qualification for the permit or licease requested. <br /> 2. You may refuse to supply data, but refusal may require that the City, deny the permit or licease. <br /> 3. The information may be shared�with ocher local,state or federal agencies to the excent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requ�res Council actibn to approve, some information maq become <br /> public. <br /> 5. � You have cenain rights under M.S. 13.04 (available upoa request) to review private data on yoursalf. <br /> 6. Your full name is required to process this application or permi�. : <br /> � ► � i v �il �2 �u�-�f �� �l^n C�. � <br /> Firsc � �r e . I.asc <br /> I 9 ��) ��l ur�),��° �r <br /> Aad� <br /> I o1n.c,t�i a.� � �`� l � ' <br /> Ciry Snm � Phoae <br /> I uaderscand my righcs_as scated abowe. . <br /> Signa e . <br />