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_.�� <br /> Sec.13.0..RIGHTS OF SUB.TECTS OF DaTa <br /> Subd. 1. Type of data. Th� richcs of individual on whom[he data is s�ored or to be stored shall be as set forch in this secdoa. <br /> Subd.2. Information reqirired to be given indiridual. An individual uked to supply privace or confidenaal dara concerning himseIf shall <br /> be informed of: (a)the purpose and incEnded use of che requ�sc�dam within[he collecting�tac�ageacy,polidcal subdivision,or satewide sysum; <br /> (b)whecher he may refuse or is legally required co supply the r.quesced da[a;(c)any iaiown coasequence arising from his supplying or refusing to supply <br /> privace or confidenrial dara;and(d)the idendry of other penoas or enrides aachorized by state or federal law to receive the data. This requiremen�shalI <br /> not appfy when an individual is asked to supply invesdgadve dara,pursuaa�to secaon 13.82,subdivision 5, co a(aw enforcemeat ofricer. - <br /> The commissionAr oF r-venua mav olace chz nodce rouired und�r this subdivision in the individual income tax or orooem tax refund <br /> inscrucrions inscead of on�hose forms. <br /> Subd. 3. Access to data by indi�idual. Upon request to a responsible auchoriry,an individual shall be inforraed wherher he is che subject <br /> of stored data on individuals,and whechzr it is class�ed�s public,private or conFidenrial. Upon his furcher requesc,an individual who is the subjecc <br /> of scored privace or public dara on individuals shall be shown che data wichout any charge to him and;if he desires, shall be informed of the contznt <br /> and meaning of chat data. Ahzr an individual has been shown[he priva�:data and informed of iu meaaing, the dara ne:d not be disclosed to him for <br /> six monchs thereafcer unless a dispuce or acaon pursuan�to chis secaon is ptnding or addidoaal data on the individual has beea co(lecced or creaced. <br /> The responsible authoriry shall provide copies of the privace or public data upon requesc by che individual subjecc of che data. Tne responsible auchoriry <br /> may require che requesring person to pay the accual coses of making,cerrifying, and compiling the copies. <br /> The�esponsible authoriry shall comply immedia�ely,if possible, wi[h any request made pursuant to this subdivision, or wichin five days of <br /> the da[e of the requesc,excluding Sacurdays,Sundays and legal holidays,if immzdiate compliance is not possible. If he cannot comply wich the requesc <br /> wi[hin[hac time,he shall so inform�he individual,and may have an addirional five days within which to comply with the requesc,exetuding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An ir.dividual may contest�:e accuracy or completeness of public or pri�•ate <br /> data concerning himself. To exercise�his ri¢h�,an individual shall noa"ry in wriung�he responsible au�horiry describing the nature of the disagreemenc. <br /> The responsible authoriry shall within 30 days either: (a)correcc the data found to be inaccurate or incompiece and attempt to noafy past recipienu of <br /> inaccurate or incomplece data, including recipiena named by tbe individual;or(b)noafy the individual that he be(ieves che dac.to be cocrecc. Data <br /> in dispuce shall be disclosed orily if the individual's s�cemenc of disagreement is included with che disclosed dar�. <br /> The determinarion of the responsible authoriry may be appealed pursuan�co the provisions oF the admirusaarive procedure act reladn� to <br /> contestzd cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hts 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 ics departments may require you to fumish 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 permit or license. <br /> 3. The information may be shared wich ocher local, state or federal agencies to the ezcent necessary to proeess <br /> the permit or license. <br /> 4. If your requested permit or license requires Council action to approve, some informa[ion may become <br /> public. <br /> 5. You have certain rights under M.S. 13.04 (available upon request) to review private data o y �self. <br /> 6. Your fuil name is required to process this application or permit. � <br /> , �, � > � �. . - .���- , �''�L�j(��D <br /> � � G�'G� / <br /> First � ) ��tiddle � "'Lasc <br /> > ��� r ��� � � � � <br /> Address � ��� �� �' .��� <br /> j� �/ � <br /> Ciry ,, � / Smce ZiQ Phone <br /> �'� � i <br /> I unde ri ts as stat ab . <br /> , � <br /> gnacur ' -- <br /> r%� , <br /> ✓ . <br />