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�, - - . <br /> . � . , <br /> Scc.13.04 RIGHTS OF SUBJECTS OF D�TA <br /> Subd. 1. Type of data. The righcs of individual on whom che data is stored or co be swrd shall be as set forth in this secrion. - <br /> Subd.2. Informaaon reqirired to be givea iadirldual. An iudividual asYed W supply private or eonFdendal daa eoncerning himsdf shall <br /> be informed of: (a)[he purpose and in�eaded use of the requesr�dara wichin the collecdng Ytace agency,polidcal subdivision,or satr.wide rysrem; <br /> (b)whe[her he may mfuse or is legally requircd ta suppty the requesud dac�;(c)aay lrnown eoasequence arising from his supplyiag or refusiag to supply <br /> privat-orconfideadaI daa;ar.d(d)ehe idendry of ocher persoas or endd:s aachorized by srate or fcd:ral law to receive[he dara. This requ'uemen�shall . <br /> not appiy when an individual is asked to supply invesrigadve dara,pursuanc to secdon 13.82,subdivision S.to a law enforcement officer. • <br /> 'The comnissione�of revenue mav olace the nodce r_�uird under[his subdivision in the individual income taz or orooectv taz refuad <br /> insm►cdons instead of on chose foans. <br /> Subd.3. Aecess to data bv tndir7dual. Upon requcst to a responsible au�horiry,an individual shall be informed whecher tie is che subject � <br /> of scnr.d daci on individuals,and whe�her it is etassified as public,privat-or confidenual. Upon his furcher request,an individual who is the subjecc <br /> of scored private or public dae on individuals shal!be shown the dara wichout any charge to tiim and;if he des'ues, shall be infocmcd of che comm�t <br /> and meaning of chac dara. Aher an individua!has been shown the privam daca and informed of iu meaning,the dara need not be d'uclosed to him for <br /> six mon�hs chereaicer unless a dispuce oc acaon pursuant to chis secaon is pending or addidonal data oa the individual hu been collecced or creared. <br /> The msponsibie aa�horiry shall provide copies of the privace or pubiic data upon requesc by che individual subject of ehe daa. The responsible authoriry <br /> usay tequire the rcquesang pecson to pay the accual cosu of rnaking,cerrifying,and eomp�7ing the copies. <br /> The responsibte aurhoriry shall eomply immediacely,if possible,wich any request made pursuant to this subdivision,or wi�hin Bve days of <br /> the dace of[he requesc,ezcluding Sacurdays.Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wich the request <br /> wi[hin that time,he shall so inform the individuai,and may have an addiaonal five days wichin which to comply wi�h the request,excluding Sanirdays, <br /> Sundays and legal holidays. <br /> Sabd.4. Procedure uhen data Ls not accurate or complete. An individual may coatut the accuracy or completeness of public orprieate <br /> dara conceming tiu:�self. To ezercise�his ri¢ht,an individual shall noafy in wridng ehe responsibie authoriry describing the naaire of the disagreemeat <br /> The responsibte au�horiry shall within 30 days either: (a)correu the data found ro be inaccurate or incomplece and attempt to nodfy past reeipiencs of <br /> inaccurate or incomplece daca, inciuding re:ipien�s named by[he individusi;ar(b)noafy the individual that he believes[he data to be cocrecc Data <br /> in dispuce shali be disclosed only if the individual's sc;cem�nt of disagre:ment is included with ch:d'uclosed dard. <br /> The decerminadon of the responsibie auchoriry may be appealed punuant to the provisions of the adminisnarive procedure act relaang to <br /> contesced eases. <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 Ciry of Orono or any of its deparcments may require you to furnish certain private or <br /> confidential information. � <br /> You ue 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 City deny the permit or license. <br /> 3. 'Ihe information may be shared wich ocher local, state or federal a�encies co the extent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council actlbn to approve, some information may bocome <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 permic. . - _ <br /> �/, 3c�l�+�S � ✓) <br /> C /l�l S�q n �"10•Ma� . <br /> Firsc��//� p, � � �fidNe . Lasc <br /> 1.— �2. <br /> Address <br /> ��� ,����-; M N' �� y 7i-�/o� <br /> Ciry Srace Zip Phone <br /> GJS �f�`� <br /> I understand my ri;hts az stated above. . .. . . . . <br /> Signamre . <br />