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^ Y . ..S <br /> s«.i3.0:RIGHTS OF SLBJECTS OF D�,Ta . <br /> Subd. 1. Type of data. 'Ihe righrs of individual on wham th-data is swted or to be swcad shaII be as set foah ia this secdon. - <br /> Subd.2. Information reqiured to be givea indiridual. An individual asYed to supply privare or confidenrial daa concerning himsetf shall <br /> be informed of: (a) [he purpose aad inrended use of the roquesc�daa wirhia the eollecang Stare agency,polirical subdivision,or satewide rysum- <br /> (b)whaher he may rfuse or is legaIIy required m supply[he rsquesud dan;(e)any]rnowa consequence arisiag from his supplying or refusing W supply <br /> privar_or eonndendal da�;ar:d(d)ehe ideeriry of o�her pecsoas or enddes aachoriz:d by sa[e or fedetal law to receive[he dam. lhis requirement shal! <br /> not appiy when an individual is asked to supply invesrigadve dara,punvaa�to sccdon 13.82,subdivision 5.to a law enforcement ofricer. • <br /> The eommissioner of rvenue mav �lace [he noace r_auir•d under chis subdivision in the individual income nz or o�ooem taz tefuad <br /> inscrucdons instead of on�hose focros. <br /> Subd.3. Access to data by indi.idual. Upon requcst to a responsible auchoriry,an individuai shall b�informed whethec he is the subject � <br /> of swcrd dae on individuals,and whecher ic is dass�:d as pubiic,privaG or confidendal. Upan his furcher request,an individuai who is the subjecc <br /> af seored privace or public dati on individuals shall be shown che dara wichout any charge W tiim and;if he desires,shalI be informed of che content <br /> and meaning of chat dara. Afrer an individual has been shown�he privace data and informed of iu meaning,the dara need not be d'uclosed to him for <br /> siz monchs[he�ea[cer unless a dispute or acdoa punvant to ehis secdon is pending or addidoaal dara on the individual has becn collecced or creared. <br /> The rsponsible accthoriry shall provide copies of the privace or public data upon request by the individual subjea of[he dara. �he responsible authoriry <br /> may require the requesang person to pay the acaial cos�s of making,cerrifying,aad compiling the copies. <br /> "Ihe responsible aurhoriry shall eomply immediacdy,if possible,wieh aay requesc made pursuant to this subdivision,or wichin five days of <br /> the dace of�he request,exciuding Sacurdays.Sundays and legal holidays,if immediace compliance is not possible. If he cannot comply wich the requesc <br /> wi�hin chac cime,he shall so inForm che individual.and may have an addiaonal five days wicfiin which to comply with the requese,e�ciudiag Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure�shea data is not accurate or camplete. An individna!tnay contest the accuracy or completeness of pubtic orpri�ate <br /> daca concerning liimself. To ezeccise�his ri¢ht,an individual shall norify in wridng the nspoasibie auehoriry describing the nature of the disagceemene. <br /> The tesponsible auchoriry shall wichin 30 days eicher: (a)correct�he dan found to be inaccua�e or incomplece and attempt to noufy past recipiencs oF <br /> inaccura�e or incomplece data, including recipients named by cha individuai; or(b)noafy the individual that he believes the daca to be coaecc Data <br /> in dispute shall be disclosed only if the individuaI's statement of disagreement is included wich che d'uclosed dam. <br /> The decerminadon of the responsible auchoriry may be appealed punuanc to the provisions of the administtaave procedure act relacng to <br /> eontested easas. <br /> DATA PRIVACY ADYISORY . � <br /> In accordance wich M.S. 13.0�, Subd.2, "Rights of subjects of data",we would like to inform you that yourrequest <br /> for a permit or license from the Ciry of Orono or any of ics departments may require you to furnish certain private or <br /> confidential information. " <br /> You aze 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, buc refusal may require that the City deny the permit or license. <br /> 3. The information may be shared with other local, state or federal agencies to the excent necessary to process <br /> ' the permit or license. <br /> 4. If your requested permit or license requires Council actlbn to approve, some information maq become <br /> public. . <br /> 5. You have certain righu undec 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 permic. • <br /> �Qhe.ccc�1 ��,� l� ��� R�� �.c� r�c�-�- � <br /> First �fiddle Lasc <br /> �a s c�� .� r,� . � �1 _ <br /> Add <br /> �;, Il� 1� ti'� ` � '� - �� <br /> Ciry Sate Zip Phone <br /> I understand my ri�.hts as stated above. <br /> Signamre . <br />