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' � <br /> Sec.13.04 RIGIiTS OF SL'BJECIS OF DaTA ' <br /> Subd. l. Tvpe of data. I�e righcs ai icdividual on whom che data is r•ored or m re sccced shalI be as sec forth ia chis seccon. <br /> Subd.2. Informatien reqirired to be�.m iadi�idual. An individual uY:d w suppiy privare or confidendal daca coaceraing himself shall <br /> be informed of: (a)ehe purpose aad in�.nded use of the requesrcd data wichin the collecdag 3�a`ageary,polidcal subdivisian,or satewide rystm; <br /> (b)whe3�er he may rfiue or is le3ally requited m n:ppty ehe cequesc..-d dan:(c)aay Icuwn caas-'�ueace arising from his supplyi,^.g or refusiag to suppiy <br /> priva�or conr.dendai dam;and(d)che idccdry of oeher persoas or enrides au�horiz:d by scar_or fedarsl law to cL=eive ch:dan. This requitemenc shalI <br /> noc app[y wkea an individual is asf:ed to suppl_v iacarigadve dan,pursuanc ro sec_an 13.8?,subdivision S,m a[aw enfor�eWeac officer. <br /> The commissioner of revenu- nav o[r-ch- nocr r-auit�d under�h�s subdivir.on in �he individual income t�x or pconetty�z tefur.d <br /> insnucdons ins.e=d of on those focros. <br /> , , . . <br /> Subd.3. access to data bp indiriduai. Lipon rcquest m a responsible auchotiry,an iadividuaI shall be informed w�aher he is the subjecc <br /> of stoc_d data on individuals,and whe:her it is classificd as publie,privac:or con;:Cenrial. L;gon his fur�her cequest,an individual who is the subjecc <br /> of smc:d pcivace oc public daa on indir•iduals shall be shown the dara wichout aay ciuge tn hi�and:if he desires,shall be iniocmed of dse content <br /> az:d me3niag of ehat dan. After an individual hu�een shown the priva�e dsa ar.d iaformed of ics meauing,the data need not be d'uclosed to hirn for <br /> siz mandu cher-aisec unlas a d'upute or acrion pursuanc w dsis secrion is pending or addiaoasi dact on�he individual 6as beea collected or creared. <br /> 'Che respaasible au[horiry shall pcovide copies of die private or public dara upon reGuesc by t�e iadividual subjecc of che dact. Tne responsible auehoriry <br /> may require die tequesdng person ro Qay the acn�l coscs of making.cerdfYinB.u.d comp�g the copies. <br /> The respansibte au[horiry shall comply i�rt:ediately,if possible,wi�h��:equest�de pursuant w this subdivisian,or wiihin five dzys ot <br /> [he da[.of rhe rquesc,excluding Satucdays,Sundays and legal halidays,if immedu�compliaace is no�passible. If he cannoc comply wids the requesc <br /> wirhin dsac dme,he shsll so inform che individual,md may have an addidonal fiv:days wichia whicb to comply win�he request,exciudiag Saturcays. <br /> Sundays and legsl holidays. <br /> Subd.4. Procedure�.hee data is not accurate or comptete. An ir.dividual may�oncest�he accuracy or compteteaess of publie ocpri�a�e' <br /> dara conceming himself. To exerise�is right,an individual shall nodfy in wriricg te respaesioie auchoriry describing the nacu:e oi the disagreemeac .. <br /> The responsble auehoriry sh�li wi�hin 30 days ei��er. (a)correc�che dan found co te itlacCL'3iL or incomplae and aa:mpt to nndfy past recipienu of <br /> inaccucaca or incocaplete daa, including recipienes named by rhe iadividual:or(b)�orify cI:e iadividual[hac he believa the daci co be cormt Dan <br /> in d'upuu:shall be disc:osed only if ehe individual's sta�emenc of disagreement is i^:luded wir.�[he disclosed dan. <br /> 'Ihe decerminadon of[he casponsible auehoriry cnay be appealed pursua::co che pr�visions of cha administrarive pro.edure act reladng m <br /> k <br /> contested c�ses. ' - <br /> D�T� PRIVACY �D�'ISORY <br /> In accordance wich M.S. 13.O�i,Subd.2, "Righes of subjecu oi data", �:e would like to inform you that your reouesc <br /> for a permit or ticense from the Ciry of Orono or any of its depz:ments nay require you to fumish certain private or <br /> confidential informatioa. <br /> You aze notified that: . <br /> 1, The information you furnish will be used to decermir:e your qealification for the permit or license iequested. <br /> ? You may refuse to supply daca, buc refusal may reeuire that che City deny the perm.it or license. <br /> ;. The informacion may be shazed wich ocher local, stac�or federal agencies to the excenc necessary to process <br /> the permit>or license. <br /> :�. If your requestzd permit or license requires Council acdon to approve, some information may become <br /> public. <br /> �. You have certairi ri�h.�s under �1.S. 13.04 (availabl= upoa request7 to review private data on yourself. <br /> 6. Your full name is required to process this appliczc:on or pe.u,it. <br /> Firsc <br /> l�fiddle Lut <br /> etdd.ss . <br /> ��� Sa� Zip PF.one <br /> I uaderscand my ri�hts as stated above. <br /> Signature <br />