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Sec.13.0,t RIGIiTS OF SZ,BJECTS OF DATA <br /> Subd. 1. Tvpe of data. The righcs oi icdividual on whom che data is s:oc-d or oo be scored shall be as sec for�h ia[his secrion. <br /> Subd.2. Information reqtirired to he��m individual_ �n iadividual aslced to�FIY Privace or confideadal daa conceraing himseif s�ll <br /> be informed of: (a)�he purpose and inrended use of[he requestod dan wichin the colleccing 3�ar_ageacy,polidcal s�bdivision,or sacewide ryn.:m; <br /> �b)whe:her he may rfuse or is Ie3alIy required�o si:ppty ehe czquestcd dan;(c)any I�own coas-':ueace arising from his supplyi;.g or refusing to supply <br /> priva[e or conr.dendal dam;and(d)�he ideaaty of o�er persoas or enriaes au�koriz�by sca`or ftd�rsl law co ce=eive che da�a. �his r�quir:menc s�all <br /> not apply whtn an individual is asked to ssppiy5a�•uri¢arive dara, pursuan�co se:�on 13.82, subdivision 5, co a law enforceWeac officer. <br /> The commissioner of r�enue nav ois:e che nocce rauircd under chis subdivision in the individual income a�c oc orooem taz refur.d <br /> instrucdons ins:cad of on �hose focros. <br /> Subd.3. ?rccess to datz br•individuat_ lipon request w a responsible�uchoriry,an individual shall be informed�vhe[hcr he is the subjec� <br /> of stor_d dara on individuals,and whe:her it is classif:ed as public, privace or con::�e^dal. L:Fon his fur.her request,an iadividual who is the subjecc <br /> of stor:d privace or public daa on individuals shali be shown[he dac�wiehaut any caarge cn h�and:if he desires,shall be iniormed of rhe concer.c <br /> az:d meaning oi�hat dars. After an individua!hss�een shown[he privace daca ar.d icformed oi ics meaniag,the data need not be d'uclosed to him for <br /> su mon�s cheraiter uniess a d'upu�e or acaon pu;suanc rn chis setdon is pending or addi¢oaal da[a on�e individual has beea collected or erea�ed. <br /> The responsiblz auehoriry shall provide copies of che private or public data upon reGu_st by che izdividuai subjecc of rhe daci. Tae responsible auchoriry <br /> may require che rcqucsring person ro pay[he acalal coscs of malcin¢,certifying.ar•d.ompiliag the copies. <br /> The responsible au�horiry shalI comply ir.sn:cdiatefy,if possible, wich���quest��t pursuant co this subdivision,or within five days oi <br /> the dace of�ht request,ezcluding Samrdays,Sundays and legal holidays,iF immeCa�compliacce is noc possible. ff he csnao�comply wi[h[fie requesc <br /> wIL`11R[$3C QIIIQ,he shall so inform che individual,and may have an addidonal five days wishin wtiich co:ompiy wi�z the request, excludiag Saeurdays, <br /> Sundays and Ie3s1 holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An ir.diviCual may conmst[he accuracy or comp(aeaess of public or pri�•ate ' <br /> data eor.ceming himselF. To exer.ise rhis ri¢hc,an individual shail noafy in wridcg�.e rtspoesioie auchoriry describing�he aacu:e oi thz disagreemza�. . <br /> 'I1�e responsible au�horiry shall wi�hin�0 days ei�`er: (a)corrccc che dzra found ro t:inaccL3�or incomplece and aaempc to norify past recipients of <br /> inaccurs:e oc incomplece dan, including recipieaa named by �he individual;or(b)cocify [2:e i�dividual[ha[he believes[he daci to be correct Dan <br /> in dispu�:shsll be disc:osed only if�he individu�l's sncemenc of disagreemen�is i^:luded wic`�[he disclosed dam. <br /> 'Ihe duerminadon of th� r�sponsibi� auchoriry may be appealed purn:�-:ro the provisions of[hz admicusuarive proceduro act reladag �o <br /> + contesc:d cases. <br /> ' DAT?, PRIVACY �DVISOR�' <br /> In accordance wi�h�i.S. 13.04, Subd.2, "Ri�ics of subjeccs oi data", w�e would like to inform you that your reauesc <br /> for a permit or license from the Ciry of Orono or any of ics depz�.ments nay require you to fumish certain private or <br /> confidential information. <br /> You are no[ified that: <br /> 1, The information you furnish will be used to determiL�your qu�lifica[ion for che permit or license requested. <br /> ?. You may refuse zo su�ppIy daca, buc refusal may reeuire that the City deny the permit or license. <br /> ;. The informacion may be shared wi[h ocher local, s�a��or federal agencies to the excen�necessary to process <br /> � " the pecmit or licease. <br /> .�. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have cenain riQhcs under ;�1.S. 13.Q4 (availabl� upon request) to review pcivate data on yourself. <br /> 6. Your full name is required ro process this applica�:oa or pe,:uic. <br /> F"�` 4100 B ��SHIRE LANE L'�` <br /> �ddr_ss PLYM � <br /> ��� ���n251 <br /> Ciry Sctr Zip PF.aa� <br /> I undecstand my rights as stated above. <br /> � ` <br /> � � —_.--- <br /> Signacur- <br />