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� <br /> .� <br /> Sec.13.W AIGHTS�R bUBJECTB OF DATA <br /> Subd.]. Type ofdata. The rights of�dividual oe whom tAe data is stored or to be etored ahall be w eet fort6 in thia secti�• <br /> 3ubd.2. lnformntiun required to be given individusl. An indivtduel aslaed to saPP1Y Private or�°"fida'Nal date'conceming himaelf�ell be <br /> informed of: (a)the purpose and inteeded use of the mquasoed dafa within�he oollecting state agency,political snbdivieion,or atatewide syeoem;(b) <br /> whe�her he mey rcfuse or is lega)ly roquh�ed to supply the*equested data;(c)any known co�equence uieing fram his supplyiag oc retLsing oo eupply <br /> private or confidenNal data;and(d)the identity ofother persons or entities authorized by atate ar fedetdl law to re.oeive fhe dan. Thia requirement ahell <br /> not apply when an individusl ie esked ro supply inveatigative data,pursuant to section 13.82,subdivision 5,to a lew�fbrcemenl officer. <br /> TAe rommLs!aner of revenue mav els�t�e n�?ic.,r�eite��nder ihia s�bdivision in he individLpl i���ome tax or oronertv Isx reRmd <br /> Subd.3. Access to data by individual.Upon requeat to a teeponaible authorily,an lndividual shell be inforn�whether he is the subject of <br /> stored data on individusls,and whcthcr it is classified as public,private or contldential. Upon Ris A�rther cequest,sn individuel who is du subjed oP <br /> atw+ed private or pubUc dan on iedividuals shell be shown the data without sny cherge to him snd,itha deoirss,shell be informed of the oonront and <br /> mesning of thu daM. After an individual hsa ban ahown the pri��abe data and informed of ils meaning,the d�ta need not 6e dieclosed to hirn for eix <br /> montha thareafter ualess a dispute or nction purs�at to this section ia pending or addirional data on the individusl has been coll�e�ed�cteatcd. 7'he <br /> responsible authority shnll provide oopies of the private or pubtk data upon roquest by the individual subJcct of the data. The rwponsible sutlsority <br /> may require t6e requesting penon to pay the sctuel cosls of making,c.adFyinB+and comp��»B che roP�es. <br /> The tesponsible autt►odiy shatl canply immediately,if posaible,with any requat rtuda pursue�M to this subdivision,or within ffve days of <br /> thc dtu oftho requeat,excluding 9aturdaye.Sundaye and legal Aolidaya,if inrnedisce compiiance is eot possible.lihe cennot complywith tRe request <br /> within t6at tirrK,he shnit so inform the individuel,and may have an sdditioesl tive days wid�in wBicA�to comply with the request,excludingSsiurdays, <br /> Sundays and legsl holidOYs. , <br /> Subd.4. Proeedure when dala isnot rceurateor cort�plaa An individual m�y contes�the acc�acy a eemp�eo�eas ofpublie or privet�e data <br /> conccming hirnaelf, Tn exercise d�id right,an individusl ehall irodty in writingihe mspomibk authodly deacribing tfie neturo of the dieagteement•'Che <br /> responeible�nthoTity shall witbia 30 daya either. (a)correct t6e dua found oo be inaccucnte m incemplete and attemprt ro notify past reap�ents of <br /> insccurste or incomplete data.including recipients named by the individual;or(b)notify the individual that tie belisvw the d�la to be oorrxt.Deta� <br /> diepute ahall be di�closed only if the individ�uPa stalement of disegreement is inelud�witl►the dieelosed data. <br /> The detertninstion of d�e r�ponaible authority may be appealed pursuant to tl►e provisions of the edministrative ptocBdure act relsting to <br /> ooalated cases. <br /> �ATA PRIVACY ADVISORY <br /> In acco�dance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would fike to inform you that your requcat <br /> for a pennit or license fmm the City ofOrono or any of its deparnnents rney requit+e you W fumiah certain private oc <br /> confidentiai information , <br /> You are notified that: <br /> 1. The infarmption you furnish will be used to determine your qualiflcation for the permit or license <br /> requested. � <br /> 2. You rnay refuse to supply dats,but refusal may reqnire that the City deny the permit or License. <br /> 3. The i�fotmation-may be shared with other local, state or federal agencies to the extent necessa�y to <br /> process the permit or license. <br /> 4. 1f your iequested petmit or license requires Council action to approve,some infortnation may become <br /> public. <br /> 5. Youhave certain rights under M.S. l3.04(available upon request)to review private data a�yourseif. <br /> 6. Yoar full name is required to prxess this application or pennit <br /> , . . . M , ��� <br /> ��t � Middle L�at <br /> 5�3- - ► <br /> Address <br /> �c_�C?��c��nc.�.. v�c�rv ld�l-C��-�l—l�-l�Co <br /> c�3' sate zip PYooe <br /> I uaderstand my righLs ted abova <br /> `� <br /> Sieu�tore <br /> ,. ,.- _�. �. �.:,�. . •,s�:-_,,�, r_„> <br /> ;� r 32 <br /> �'Y. T . � • .. ...R:. �1�.I •�t:���j• <br /> S 'd 06i9t►G9TS9 3�IA213S 1IW213d Q '8 S I� 9i �f►T 600z 8i ��C <br />