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Sec.13.0:RIGHTS OF SCfBJECTS OF DATA <br /> Subd. 1. Type of da[a. The rizfi�s oF ir.divid�l on whom the data is stored or co be s;oced shafl be as set focth in this secaon. - <br /> Subd.2. Information required to be�ven indi�idval. An icdividual asked to supply private or coaE.denaal dara concern�g himsetf shall <br /> be iaformed oF: (a) t�e purpose and inc:aded use of the teques�daa within the eollecdag�tate ageacy,polidca!subdivision,oc satewide rys.em; <br /> (b)whe�`�er he may r`use or is legally tequiced to supply the rquesud dac�:(c)any Imown coasequence arising from his suppiying or refusing to supply <br /> private oreor�dendaI da¢;ar.d(d)che ide¢dry of otherpeaoas orendd:s z�chori:ed by Sc��a orfederal law to r:ceive tha da�. "Ihis r:quiremeatshall <br /> r.oc apply when an ir:dividu_I is as4;ed co supply invesd�adve da�, pursuant to s:cdon 13.82,subdivision 5, to a law enforcemenc oEiicer. - <br /> Tne eomm.issioner of revenue mav oiace che nodce r_auird under chis su�division in the individual ir;come tax or oreoam mz r=fued <br /> ins:tucdor.s insc_ad of on chose forms. <br /> Subd. 3. Access to data by indir1dual. lipon requesc tD a rsponsible au�horiry,an iadividual shall be inFor,aed whecF.e;Ce is che subject � <br /> of scord dati on individuals,ar:d wh=ther ic is elass�:d�s public, priva:e or co�dendal. Upon his fucther cequest,an i.^.dividual who is the subjea <br /> of seored privac_-ar public daca on individuals shall be shovm che dac;wi�houc any char3e to him aad;if he desires,shall be infoccned of the eontene <br /> ar.d meaning of�hat data. Ahcr an individual h�s 6een shown the privam data and inforsied of iss meaning,the data need not be disclased to him foc <br /> siz monchs d:areai�-.c u;iless a dispute or acdon pur�uznc to this sccdon is pend�ng or addidooal dati on the individual�u beea collec�d oc eraced. <br /> The rspons;ble authoriry shall pcovide copi:s of the privace or public data upon requ:st by�he individual subjec[of tha da�. 'Iht responsible authoriry <br /> may rzquire �he requesang pecson to pay che accual cosu of m.aking,eerdfying,and compiling tfie copies. <br /> The responsibte auchoriry shall eo�piy immedia�ely,if possible, wich any rcques�mada pursuant to[his subdivision, or wichin five days of <br /> the da�e of che request,exdudir;g Sacurdays.Sundays and legal holidays,if immediace compliar.ce is not possibla If hc caanot comply with the requesc <br /> wi�hin[hat dr.ie,he shall so inform the individual,and may have an addiaonaI fivt days wichin which to comply wi[h the requesc,excluding Satutdays, <br /> Sundays and legal holidays. <br /> Subd.4. Pcacedure vchea data is not accurate or eomplete. An individual may contest tl:e accuracy or completeness of public orpri�•ate <br /> daca cor.ceming hir.:self. To exe:cise chis ri¢ht,an individual shall nod'ry in wridng eh:responsible auchoriry describing the nacure of che disagreemenc. <br /> 'Ihe responsible auchoriry shali within 30 days eicher: (a)correct thc data found to be inaccurata or incomple�e az:d attempt to nodfy past recipienu of <br /> inaccurate or incomplece daca, inciuding recipienes nam:d by the u:divid�al; or(b)nodfy the individual that he believes che data to be eocrece. Data <br /> in dispuce shalt be disclosed only if the individual's sca�em�nc of disagreemen�is includzd wich the disclosed da�. <br /> The decerminadon of the responsibla auchoriry may be appealed pursuant to 4�e provisions of chz adminiscrarive pcocedure act relaang to <br /> contesced eases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with M.S. 13.04, Subd.2, "Ri�hts of subjects of data",we would like to inform you thac your request <br /> for a permit or license from the Ciry of Orono or any of its deparcments may require you to fumish cenain private or <br /> confidential information. J <br /> You are notif ed that:- <br /> 1. The informa[ion you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to suppIy data, but refusal may require that the Ciry deny the perm.it or license. <br /> 3. The information may be shared with ocher local, sta�e or federal a�encies to t�e extent necessary to process <br /> ' the permit or licease. <br /> 4. If your reques[ed pernut or license requires Council acttbn to approve, some informa[ion may become <br /> public. <br /> 5, You have certain ri?hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required to process this application or permi�. <br /> � <br /> ,���"�; C� i'�lt / :<-��i � <br /> First �fiddle Lasc <br /> /�/ � C� ��/��t��l�,r<; i /S ���� <br /> Addreu <br /> ,L•/ C� ./G. �%Jil <br /> Ciry Snt� Zip Phaae <br /> I understand my ri�hcs as stated above. <br /> � .f���-c; ��� �fl/�Cl �✓ S�-�/ <br /> stgr�an:rc <br />