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Sec.13.0�t RIGFiTS OF SL'BJECTS OF DAT� <br /> Subd. 1. Tvpe of data. The righ�s oi icdividual on whom che data is s:or.d or n�be scoctd shall be as set forch ia�his secrion. <br /> Subd.2. Informaaon reqirired to be gi.en individual. .�.n individual uY:d to suFpiy private or confidendal da¢concerning himseif shalI <br /> be iaFormed of: (a)che purpose and iac:nded use of che rtquesud dam withia�e couecang�aL agency,po(idcai subdivisioa,or seicewide ryst:m: <br /> �b)whe:her he may rfuse or is le3ally cequir.d m n:ppiy rhe rzquesud dars:(c)any I�own coas..';ueace arisin3 from his supplyi.^.g or refusing ro supply <br /> priva�:or con::dendal dam;and(d)che idenrirr of ocher peaoas or enades auchoriz:d bY suc_or fr.d�ral law ro re_eive the dan. This requir_mea�s�alI <br /> no�apply whzn an individual is�sked to sspply iar•udgaave dam, pursuanc�o sec=on 13.82,subdivision 5, co a Iaw enforceWeat officer. <br /> 'Ihe comr.iissioner oF rvenue r,�av vii:;che nocce re�uired und:r this subdivision in �he individua! incortie e�x or vrooem az refur.d <br /> instrucaons instead of on�hose forms. <br /> Subd.3. access to dac�bc indiriduaI_ lipan requesc co a ctsponsible auchoriry,an individual shall be informed�vhe�her he is the subjecc <br /> of scor_d dara on individuals,and whe:her it is c[usif:ed as public, Qrivace or con::Ce:�Qal• LFon his fur�her tequest,an individual who is the subjec� <br /> of stoc-d privace or public daa on indir-iduals shaR be shown the daa wi�hout any ciu3e rn h�and;if he desires,shall be iniormed of che con[er.c <br /> ar.d meaniag oi ch3�d�a• After an individual has�een shown che privare dac►ar,d informed oi iu meaniag,the dam aeed not be disclosed to him for <br /> siz mon�s cherac�er unless a dispute or acrion pu:suanc co this secdon is pending or addiao�.l dara on�he individual has beea collected or crea�ed. <br /> The responsible au�horiry shall provide copies of�hz privau or public dac�upon requ:sc by the it3ividual subject of che daci. T'ne responsible auchoriry <br /> may r:quirr[he �equesring per�on ro pay[he acnul cosa of mafcing.cerrifying.u:d:ompiling[he copies. <br /> 'Ihe responsibla auchoriry shall compty inrs:edia[e[y,if possibte,wi[h���qa�st¢=�=Pursuan�to this subdivision,or wirhin five days oi <br /> the dare of[he requesc,ezcluding Satucdays,Suadays and legal holidays,if is.med��complia.cce is noc possible. If he cannot compty wi[h the requesc <br /> wi[hin dvt dme.he shall so inform�he individual,and may have an addidoaal five days wi[hin which to:omply win[he requcst,ezcluding Sanirdays. <br /> Sundays and Iegai holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An indivi�ual may concest che a�curacy or comptaeaess of public or pri�•ate ' <br /> data cor.ceming himself. To exer.ise�is right,an individual shall nodfy in wridn;:i::respocsioie auchoriry describing ehe naeu:e oi che disagreemaac. . <br /> The rtsponsiblt authoriry shail wi[hin�0 days ei�`.:r: (a)correc[the dara found ro te inaccL3�or incompiece and aaempe to nodfy past recipiene�of <br /> inaccura:a o�incomplece dan, inciuding recipieea named by [he individual;or(b)coafy d:= i�dividual�[hac he believes the dara to be correct Dan <br /> in dispuG:shall be disc!osed onIy if[he individual's stacement of disagreement is ir:luded wi*`�[he disetosed data. <br /> Ihe dzcermirvzdon of che rzsponsibl�au�horiry cnay be appealed purss�.:ro [he pr�visions of[hz adminisaarive pro.edure acc reladng ro <br /> concesced c�ses. <br /> DAT�. PRIVACY �D`'ISOR�' <br /> In accordance wich v1.S. 13.04, Subd.2, "RiQ.hts of subjects oi data", �c�e would like to inform you tha[your reques� <br /> for a permic or license from che Ciry of Orono or any of its depz�.ments nay require you to fumish certain private or <br /> confidential informacion. <br /> You are nocified that: . <br /> 1. The information you furnish will be used[o decermi.�.�your qu�lification for che perm.it or license requested. <br /> �. You may refuse to suppiy data, buc refusal may reeuire that che Ciry deny the permit or license. <br /> ;. The informa�ion may be shared wich ocher local, sca��or federal agencies to the excent necessary to process <br /> the permit or license. <br /> :�: If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> �. You have cenain riQ.hcs under �i.S. 13.04 (availabl� upon requesc) to review private data on yourself. <br /> 6, Your full,name is required to process chis applica�:on or pe.:Lit. <br /> Finc titiddle Last <br /> �1dd�ss <br /> C iry Sttm Zip Pha aa <br /> I understand my righcs as scaced above_ . <br /> Signatur_ <br />