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. . <br /> Sac.I3.Q4 RIGSTS OF SUBJECTS OF D�TA • <br /> Satd. i. Type o[data. The righcs of individual on whom the data is swced or ro bc stnr.d sha.11 be as sec forth ia this secrioa <br /> Subd.2. Information rtquired to be given iadiridual. �1n individuaI asked to supply privam or eaafideaaal dam eoncerning hirsself shalI <br /> be iafo�¢::d o,`: (a)the purrose acd inceadcd use oE the rzqucst-�3 daa wit�in the eollecdag Eti�a3eaty.poliacal suL+division,or stimwide ryst,m; <br /> (b)wh:c,`.e:he--.=y r.�us:o;is,le3alIy requir:d to n:pply_the r_quesud daca:(cJ aay Yaawn eaase�:ecce uisi.e3 from his supptyia3 oc refusing co suPPtY <br /> privace or eo:i::der.�a?daa;ar.d(d)c�e ideadry of o�er persoas ore�dces auc�orse3 by sca�ocfe'_cz'��::.o r:c:ive c�e da�. Zhi.s r.quircneac S�aI <br /> not a?pIy wcez an ir.dividual is�sked co suppiy iavesrigadve daa,pursaaac to secdon 13.82,sti:bdivisioa 5,w a law enfaccement o�cer. . - <br /> 'l�z ce;zmissioner of rcvenu� mav olace ch- nodc- rauird und-r this subdivision in the individual ircome ez or orooertv t�z tefund <br /> instrucdocu L*�stead of an those forms. . " <br /> Subd. 3. Access to data by iadivfdual. Upon tequesc to a responsible auchodry,an individaal sball be informed whe�hec he is the subjecc <br /> of stor.d dati on individuals,and whecher it is el�uiFied as public,privatn or eonF.dend�l. Upaa his furcher r_quest,an icdividual who is the subjecc <br /> of s.or:d priva,e or public dam on individuaIs shall be showa the daa wirho¢t any eharge to him ar.d;if he desiru,shall be infocmed oE the eontent <br /> ar.d m:aning of chat daca. Ahe�an individuaI has been shown the priva�.dan az:d informed o[ic�meaaing,che daa need not be disclosed to him far <br /> six monchs�her.afur unless a dispuce or acaon purneant to this se;aon is Qending oc addirioaal daci on tfie individuat has been eollectd or erca�d. <br /> The cespansible authariry shal!'provida eopies of che priva�or public daca upon rcquest by ehe individual subject of che daa. Tha responsible auchoriry <br /> may requir_ che r.quesang person to pay che accual eosu oi makinz,ee�dfying,aed eomp'lIing che eapia. <br /> The respo�uible auchoriry shall eampiy irnmediataty,if possibie,wi�h aay request rsude parsuaat tn this subdivision,ar wichin five days oF <br /> the dace of the req:cesc,ezcluding Sacurdays,Sundays and legai hotidayi,if inmedia:e compliaace u not possible. If he eanaot eomply with the requesc <br /> wichin chat arne,he shall so inform che individual,and may have an addidoaaI five days within which to compty wic�the tequesc,ezciuding Saairdays, <br /> Sundays and 1e3a1 holidays. . . . <br /> Sutd.4. Praeadure when data is not accurate oc complete. M icdividual may eonmst che accurdcy oc eompleteneu o[pubiic or privace <br /> dara coaceming himself. To ezercise ti�is right,an individual shaIl aodFy ia wridng�he respoasible auchoriry descnbing the nacuce o[the ditagreemeuc <br /> The respoasible authoriry shalt wichin 30 days ei�;er: (a)eorrecc�he data found w be inaccurdt�or ir.compiet�aad atc:mpt to nadfy past recipiencs of <br /> inaccurace or incomplae data,inciuding recipiea�s named by the individu�t;or @}nodfy the individual that he believes the data to be correce Daa <br /> in disputc s�.all be disclosed onIy if�he individual's stacenenc of disagreem:nt is included with the disctosed dara. <br /> ::::dacecminadon of the rtsponsibia auchoriry may be appealed parsuanc to the provisions of the adminisQadve proc:dum act relaang to <br /> eoncer�d cases. . • <br /> DATA PRiVACY ADVISORY � <br /> In accordance with M.S. 13.04,Subd.2, "R.ights of subjeccs of data",we wouId like to inform you that your request <br /> for a percnit or license from the Ciry oE Orono or any of its depanments may require you to furnish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. Zhe information you furnish will be used to determine your qualificadon for the permit or license requested. <br /> 2. You may refuse to suppty data, but refusal may require that the Ciry deny the permit or license. � <br /> 3. The information may be shared with o�her local,state or federal a�encies to the ettent necessary to process <br /> the permit or Iicense. � <br /> 4. If your requested permit or licease requires Council action to approve, some information may become <br /> . public. � � � . . , <br /> �5. You have certain rights under M.S. 13.04�(availabte upon requesc) to review privace data on.yourself. . . <br /> 6. Your full name is,required to process this application or permit. <br /> Fus� � �(iddle I.asc • <br /> Address � <br /> Ciry Sace Zip P�oae <br /> I understand my ri� stated above. <br /> Signamre <br />