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�� � <br /> r * <br /> Sec.13.0:RIGHTS OF SUBJECTS OF D:�Ta <br /> Subd. 1. Type of daca. Zhe ri�hcs of ir.dividual on whom the data is storcd or to be stnrd shaII ba as set forch in this secaoo. <br /> Subd.2. Information reqirired to be givea indiriduai. An individual asked to supply priva�.or confid�ndal d2�coacomiag himse(f shall <br /> ba informed of: (a)the purpose and inc:nded use of the requesc-�dam within the collecdag 3tar�ageacy,poliac�subdivision,or scacewide ryscem; <br /> (b)whecher he may refuse or is legaily rquired[o supply che rquesced da�a;(c)any lrnown coasequeace arisin3 froa his suppIying or refusing to supply <br /> private or eonFdenaal data;az:d(d)the ideadry of ocher paaons or enddes auchorized by stata or federal law ro receive the dara. 'Ihis requiremeat shall <br /> not apply when an individual is asked to supply invu�gadve dat�,pursuanc to secaon 13.8?,subdivision 5, to a law enforemen�ofruer. - <br /> Tha commissioner of rever,ue mav olace �`�e noace r_auired und�r this subdivision in the individ¢`I ir.come ex or oroozm taz rtfur.d <br /> ins:rucdons instead of on chose forms. <br /> Subd.3. Access to data by indiridual. lipon requesc cn a responsible auchoriry,an individual shall be inforraed whecher he is ehe subjecc <br /> of scored dac3 on individuals,and wh�rher i�is ciass�:d as pubtic, private or confidenoal. L3pon his furchcr request,an individual who is the subjec� <br /> of scored private or public daca on individuals shali be ahown che dat�wi�hout any charge to him and;if he d�sires, shall be informed of che concen� <br /> and meaning of[hat data. Aher an individual has bcen shown rhe priva�:data and informed of its meaning,th�dat3 need not be disclosed to him for <br /> six mon�hs[hereatu.r unless a dispute or acaon pursuan�to chis sccaon is pznding or addidonal dac3 oa the ir.dividual has been collecced or creaced. <br /> The responsible authoriry shall pcovid�copies of the priva�,or public data upon requese by the ir.dividual subjece of[he data. The responsible authoriry <br /> may tequir the requesdng person to pay the actual costs of miking,cerrifying,and compiling the copies. <br /> The responsibfe authoriry ahall compiy immedia�:ly, if possible, wich any request mad�pursuant to this subdivision, or wi�hin five days of <br /> the date of the requtst,exciuding Saturdays,Sundays and legal holidays,if immzdiace compliance is not possible. If he canno�comply with the rquest <br /> within that cimt,he shall so inform[he individual,and may have an addiaonal five days wi[hin which to comply wich the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure rchen data is not accurate or complete. An individual may contesc che accumcy or comple�eness of public orprivate <br /> dan concerning himself. To exercise�his ri¢ht,an individual shaIl noafy in writing the respoasible authoriry d:scribing che nacure of the disagreemeac. <br /> The responsibte authoriry shall wichin 30 days eichcr: (a)comu the data found to be inaccurate or incomplece and attempc to norify past rocipiencs of <br /> inaccurate or incomplece data, inciuding recipiena nzmed by �he individual;or(b)nodFy the ir.dividual thac he b:lieves che data to be correcc. Data <br /> in dispute shall be disclosed onty if the ir.dividual's sc3temenc of disa;rcemenc is included wich the disclosed d=_r�. <br /> The decerminarion of the responsible au�horiry may be appea(zd pursuant to the provisions of[he admuustrarive procedure act reladn� to <br /> concescad cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Riohts of subjects of data", we would like to inform you that your request <br /> for a pernut or license from the Ciry of Orono or any of ics departments may require you to fumish certain private or <br /> confideatial informacion. <br /> You are notified that: • <br /> i. The information you furnish will be used to determine your qualification fo:the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the perm.it or license. <br /> 3. The information may be shared wich ocher local, state or federal a�encies to thz ex�ent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain rights under M.S. 13.04 (available upon request) to review private data onyouurself. <br /> 6. Your full name is required to process this application or permi�. <br /> First �fiddle Last <br /> Address <br /> Ciry Stam Zip Phone <br /> I understand my ri�hts as stated above. <br /> Signaatre <br />