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,T .,5 <br /> • _ .. ` r <br /> Sec.13.04 RIGHTS OF SUBJECTS OF DATA - . <br /> Sabd. i. Type of data. The ri¢het of individual on whom the data is scoce3 or to be scord shall be as set forth ia this seccon. • <br /> Subd.2. Informatioa reqirired to be given iadividual. �1n individual asked to supply private oc coafidenaal dara concerning himself shall <br /> be informed of: (a)the purpose aad inrendcd use of the requesr�daca wichin the collecdng Etate ageacy,polidcal subdivisian,or s�acewide rystem; <br /> (b)whecher he may r_:vse or is legally requ'urd to supply�he requesud dac�;(c)aay Irnowa consequence arising from his supplying or refusing ro supply <br /> private or eonndendaI dara;ar.d(d)[he ideaary of osher peaons or enddes auchocized by snte or federal law to receive the dam. This requirement shall <br /> not apply when an individua]is asked to supply invesdeadve dan,pucsuaac to secdoa 13.83,subdivision 5.to a law enforcemeat offuer. • <br /> The comr.issioner of rvenue mav vlace rhe noace r_ouir.d under this subdivision in the individual income taz o�prooertv taz refuad <br /> insRueaons inscead of on chose forms. _ __ <br /> Subd.3. Access to data by indir1dual. Upon rcquest to a responsible auchoriry,an individual shall be informed whaher he is che subject � <br /> of stored dac�on individuals,and whe�her it is elassified as pubtic,Qrivat:or confidenanl. Upon his further requcst,an individual who is the subject <br /> of scored privace or public dati on individuals shall be shown ehe data wichouc any charge to him and;if he desires,shall be informed of the content <br /> and meaning of chat dara. Afur an individu�i has been showa the privare data and informed of iu meaaing,che data need not be disclosed to him for <br /> siz monchs�hereatser unless a dispute or accon pursuant to this secdon is pending or addidonal dara oa the individual has been collecced or erearcd. <br /> The r:sponsible au�horiry shall provide copies of the priva�e or public data upon requesc by the individual subjeu of ehe dara. The responsibie authoriry <br /> may require che reques3ng person to pay che acaiai cosu of rnaking,certifying,and comp�ing the copies. <br /> 'Ihe responsible au[horiry shall eomply immediacely,if possible,wich any tequest made punuant to this subdivision,or wichin five days of <br /> the dace of�he requcsc,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compiy wi[h the cequesc <br /> w'uhin chac tine,he shall so inform the individuai,and may have an addidonal five days wichhin which to comply wi[h the cequesc,excluding Sanirdays, <br /> Sundays and legal hotidays. <br /> Subd.4. Procedure vshea data is not accurate or eomplete. An individual may contest the accuracy or compieceness oPpublic orprivate <br /> daca eonc�rning tivaself. To ezercise this righ4 an individual shall nodfy in wriring the respoasible au�horiry describing the nature of the disagreemeat <br /> The tesponsible auchoriry shall wi�hin 30 days eicher: (a)corr.ct the dan found m be inaccurate or incomplece and aaempt to noafy past recipiencs of <br /> inaccurace or incomptece dara, inciuding recipients namcd by�he individusl;or(b)noafy the individual that he believes�he data to be coaect Dara <br /> in dispute shaIt be disclosed only if[he individual's sc3cemenc of disagreement is induded wi�h the d'udosed dara. <br /> The dececminadon of che responsible au[horiry may be appealed punuant to et►e provisions of che adminiscradve procedure act reiaang to <br /> contested eases. <br /> DATA PRIVACY ADVISORY .. � � <br /> In accordaace with M.S. 13.0�, 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 iu departments may require you to furnish certain private or <br /> confidential informacion. � <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 data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the excent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council actlbn to approve, some information maq become <br /> public. <br /> 5. You have certain rights uadec 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 /> �o�� � C��� <br /> Ftst Middle . I.asc <br /> ,�b S � �l���`c.JI r�.� �� v+� <br /> Address <br /> ��N� .�-k� �,co�,� � /'Ii'-� s S3�� �/y�r' -v �'b � <br /> Ciry J Snte Zip Phone <br /> I unde 'gh as stated above. <br /> ��y��'-�-_> , <br /> s' re <br />