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Sec.13.0-i RIGKIS OF SL'BJECTS OF DaT.�. <br /> Subd. 1. Tvpe oF data. "Ihc righcs ot i�dividual on whom[he dat�is s;or.d or m be scored shalI be as sec forch in[his secaon. <br /> Subd.2. InformaCon reqtirirrd to be�vea individual. An individual asked to supply privarc or confidendal dan coacerning himsetf shall <br /> be informed of: (a)the purpose and iacr.nded use of�he cequesred dam wichin che collecdng 3tim ageary, polidc3l subdivision,or sci�ewide systm: <br /> �b)whe:her he may rfuse or is Ie3ally requiced�o supply the requesced dars:(c)any Icov�n coauquence arising from his supplyi:g or refusing m supply <br /> privace or conr.denaal daca:and(d)[he idenrity of orfierpersoas orendries au�horiz�by scac_or fed�ral law to ceceive�he da�a. "Ihis requicemea[shall <br /> no�apply whzn an individual i�bsked to svpplv incuri¢arive daca,pursuant co sec�on 13.82, subdivision 5, co a law enforte�eac o�cer. <br /> Tne commissioner of rvenue mav vli:e che nocce rauired under[his subdi�ision in [he irtdividual income tax or orooem az �efur.d <br /> instrucdons ins:ead of on�hose forms. <br /> Subd. 3. access to data bp individual. lipon request w a responsiblc aurhoriry,an individual shall be informed whe�her he is the subjecc <br /> of scnr_d daca on individuals,and whe:her ic is classified as public,privace or con::�=ada1• L'Fon his further request,an individual who is the subjecc <br /> of storrd priva:e or public daa on indir�iduals shall be shown che dam wirtsout any c�arge co hin and:if he desires, shall be iatormed of the con�enc <br /> ar.d meaning oi chac dact. After an individual has�een shown che privam daa and iaiormed o�ics meanin3,�he dact need not be disclosed ro him for <br /> six monchs d:ersiter uriless a dispute or acrion pu;suanc[D chis secrion is pending or addiaoa3.l dac3 on[he individual has been collecced or creaced. <br /> Tne responsibie auehoriry shall provide copies of�he privace or pubiic data upon requ:sc by the i�dividuai subjecc of che daei. T'ne responsible au�horiry <br /> may requir_ �he requesring person to pay the acau!cosu of making.cerdfying,u:d compiling[he copies. <br /> The responsible au�horiry shall eompty irsur.ediacely, if possible, wich��rquesc m3dz pursuant co�his subdivision,or within five days oi <br /> the da4 of rl:a r�quesc,ezciuding Sanirdays.Sundays and legal holidays,if immeduce compli�ce is noc possible. If he canaoc comply wi[h the requesc <br /> wic,5in�ha�dme,he shall so inform�he individual,ar.d may have an addiaoaal five days wichin wtuch to comply wic.`�the requesc,exctuding Saturdays. <br /> 3undays and le3s!holidays. <br /> Subd.4. Procedure when data is uot accurate or complete. An indir,dua!may contest the accutacy ar compleceaess of public or pri�•ate ' <br /> data cor.ceming himself. To ezer.ise r.�is righ�an individual shali nodfy in wriang�:=crsponsiote aurhoriry dzscribing che aanire oi th�disagreemea�. . <br /> The responsibta auchoriry shall wi�hin�0 days eic.`.er: (a)co�recc�he data found ro te inaccu�r=or incomple�e and aaempe to noafy past recipiencs of <br /> inaccurace or incomplece dan, including recipiea�s named by the individual; or(b)codfy t2:= individual that he believes the dati to be cocrect Dan <br /> in dispuce shsll be disc?osed only if the individual's stacemenc of disagreemenc is�:(uded wiL'�[he disclosed dara. <br /> The de�erminadon of the responsibl� auchoriry may be appealed purn:�:c�o �he provisions of cha adminisaarive pro:edure acc reladng [o <br /> conces:ed cases. <br /> DAT� PRIVACY �D`'ISORY <br /> In accordance wi�h M.S. 13.04, Subd.2, "Riohts of subjecu oi daca", �.�e would like to inform you tha[your requesc <br /> for a permic or license from che Ciry of Orono or any of its depz�men[s may require you to furnish certain private or <br /> confidencial information. <br /> You are notified thar. <br /> �. The infocmation you furnish will be used to decermin�your qualification for the perm.it or license requested. <br /> ?. You may refuse to supply data, but refusal may reauire tha� the Ciry deny the permit or license. <br /> ;. The informacion may be shared wi�h ocher local, scace or federal agencies co the extent necessary to process <br /> the permic or license. <br /> 4. If your requested pecmic or license requires Council action to approve, some infocmacion may become <br /> public. <br /> j, You have cenain riQhts under �1.5. 13.04 (availabl� upon request) to review priva[e data on yourself. <br /> (, Your full name is required to process chis applicztioa or pe:mic. <br /> F�nt <br /> To�y Elc����mpany L'�` <br /> 4100 B�rk� � <br /> �ddr_ss <br /> aivrr�c>!,+►�, ;;,�r.� `544� <br /> Ciry Sa` Zip Phane <br /> I underscand my ri�hts as sta�ed above. . <br /> ,�� .� �`'��' � <br /> Si3nacure <br />