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* .} <br /> • 'r i <br /> Sec.13.Q4 RIGHTS OF SUB.TECTS OF D?.TA <br /> Subd. 1. Type o[data. The righrs of individual on whom rhe data is scorcd or to be s�rad shall be u set fo�ia this secdon. - <br /> Sabd.2. Informaaon reqirired ta be given individual. An individual uked to suppty private or eonfidenaal dam concerning himsetf shall <br /> be informed of: (a)the purpose and inceaded use of the requcss�daa wichin ehe collecdng Sure agency,polidcal subdivisioa,or sratewide rystem; <br /> (b)whe�her he may r;use or is legal[y rtqui._d to supply the rsquesud dara;(c)any Irnowa consequence arising from his supplying or refusiag to supply <br /> privar_or confidondal dara;ar.d(d)the idendry of oiher persoas or entid:s auchorized by Sate or fedacal law[o receive the dara. This requiremeac shalI . <br /> not apply when an individual is asked to suppiy invesdgadve daca,pursuanc to secaoa 13.83,subdivision 5.to a law enforcement ofricec. • <br /> The comm.issioner of re�•enue nav place [he nouce t=�uird under this subdivision in the individual income taz or orooem taz refuad <br /> insrrucdons insuad of on chose forms. <br /> Subd.3. Aecas to data by indir-idual. Upon requesc to a responsible au[horiry,an individual shall be inform�d whether he is the subject � <br /> of smrd daca on iadividuals,and whecher it is ciassiFi:d as pubiic,privat-or conFdenaal. Upon his further request,an individual who is the subjecc <br /> of scored pcivace or public dat3 on individuaIs shali be shown che data wichout any charge to him and,-if he desires,shall be informed of the eontenc <br /> and meaning of chat data. Aher an individual has been shown the priva�e dara and infarmed of ics meaning,the dara need not be d'uclased to him for <br /> siz monchs thereaiut uniess a dispuce or acaon pursuan�to�his secdon is pending or addidooa.l daa on the individual has been callecmd or creaced. <br /> The r:sponsibte authoriry shall provide copies of the privace or pubIic daca upon tequest by[he individuaI subject of the daca. Tlie tesponsible auchariry <br /> may�quire che requesang person to pay the accual cosis of making,ce�rifying,and compiling the copies. <br /> The responsible au[horiry shail conply immediacely,if possible,wi[h any request made pursuant to this subdivision,or wi�hin five days of <br /> the dace of�he request,excluding Sa�ucdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wirh the requesc <br /> wichin that time,he shall so inform�he individual,and may have an addidonal five days wi[hin which m compty wieh the request,excluding Sanudays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure rchea data is no[accurate or eomplete. An individual may contest the accuracy or completeness of public arpri�ace <br /> dara conceming ti�mself. To exercise chis ri¢h4 an individual shall nod"ry in wridng[he respoasible aurhoriry describing the nature of rhe disagreemenG <br /> 'Ihe responsible auchoriry shall wichin 30 days either: (a)correct the daca found ro be inaccurace or incomplete and attempt to nodfy past ncipiencs of <br /> inaccurate or incomptece daca, including recipiena named by the individual;or(b)noufy the individaal that he believes the data to be coaece Data <br /> in dispute shall be disctosed only if the indi�•idual's secemtnt of disagrcement is included with tht disdosed data. <br /> Tht decerminadon of the responsible auchoriry may be appealed punuant to the provisions of[he administredve procedure act relaang to <br /> wntested cases. <br /> DATA PRIVACY ADVISORY _ � � <br /> In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data",we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of ia departments may require you to furnish certain private or <br /> confidential information. " <br /> You are notified that:• <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to supply data, but refusal may require that the City deny the perm.it or license. <br /> 3. The information may be shared with ocher local, state or federal a�encies to the extent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council actlan to approve, some information may become <br /> public. <br /> . 5. You have certain rights under M.S. 13.04 (available upon request) to review private daia on yourself. <br /> 6. Your full,name is required to process this application or pe '�. � <br /> � <br /> � : <br /> �, �����, - � ����� ���� . <br /> � <br /> Frsc rfid e Lasc � <br /> � � <br /> � � f �.������'r� '��_, �'� � �j <br /> Addr � � . �i� /� ��/j � �'.—� J C-�c•/ �. <br /> ' �� < <�� �= � .�.. <br /> Ciry Sate Zip Phone <br /> I understand my ri� t d o _ _ . � . <br /> . � ,� '��?l � <br /> signa�ur� � . . <br />