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♦ � y . , '�r Sec.13.0:RIGHTS OF SITB.TECTS OF D�,T?, . Subd. 1. Type of data. The righcs of individ�l oa whom ehe daca is scor.3 or to be scor:d shall be as set forch ia this secdon. = Subd.2. Informaaon req�red to be given individual. ?�n individual azked to supply private or confidenaal data concerning himself shall be informed of: (a)the purpose and inrandcd use of the rsquesc�dan wirhin the collecdag Stace agency, poliacal subdivision,or sntewide rystem; (b)whether he tnay ce.'use or is legally requizrd ta supply the rsquesud dan;(c)any Irnown eoasequence arising from his supptying or refusing to supply privace orconndenrial dara;ar.d(d)che ideaary of ocher persoas or enrides aachorized by snte or fedecal law to receive the dam. 'Ihis requirement shall no[apply when an individual is asked to suppty invesrigadve da�,pursi�ant to secdoa 13.8?,subdivision 5.to a law enforcemeat ofriae � 'ihe comm.issioner of revenue mav olace the noace r_auired under this subdivision in the individuaI income tax or orooem taz refuad instrucdons insu�d of on chose forms. Subd.3. Accas to data by indi�idual. Upon request w a responsible aurhoriry,an individual shall be infocmed whether he is the subject � of scored dati on individuals,and whecher ic is ctassifi:d as publie,privatr,or confidenaal. Upon his furcher request,an individual who is the subjeu of stored privac�or public data on individuals shali be shown the dara wichouc any charge w tiim and;if he des'�res, shall be informed of the content and meaning of chat dara. Aher an individu�l hbt been shown the privace da�a and iaformed of ia meaning,the data need not be d'uciosed W him for six man�hs checeaicer unless a dispute or acdon pucsuan[to ehis secdon is pending or addidooal data on the individuai has been eollee�ed or ereated. The r.sponsible authoriry shall provide copies of the privace or pub[ic data upon cequesc by che individual subject of ehe dara. TTie responsible authoriry may require rhe requesang person to pay the accual cos[s of making,cerrifying,and compiling the copies. '!he responsible auchoriry shall eonply immediacely,if possible,wich any requesc made pursuant to this subdivision,or wi�hin five days of the dace of the requut,exduding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply wich the request within that time,he shall so inform che individual,and may have an addiaonal five days wichin which w comply wich che request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure tirhen data is not accurate or camplete. An individuat may coatest the accuracy or compleceness of public arprivate dara concerning tivasetf. To ezercise chis ri¢ht,an individuai shall nodfy in wridng che responsible auchoriry describing the na�ure of the disagreemenG The responsible auchoriry shaii wichin 30 days ei�her: (a)cornct the data found ro be inaccurace or incomplece and attempt to nodfy past ncipiencs oE inaccurace or incompleu daca, including recipien�s namcd by the individual;or(b)aoafy the individual that he believes che data to be eoaec� Data in dispuce shall be disclosed only if the individual's setem�nt of disagreement is incladed wich che disclosed dard. The decerminadon of the responsible auchoriry may be appealed pursuant to the provisions of the adminiscraave proceduce act relaring to contested casas. DATA PRIVACY ADVISORY . � In accordance wi�h M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the Ciry of Orono or any of its deparcments may require you to furnish certain private or confidencial information. " You are notified that:- i. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, buc refusal may require that the City deny the permit or license. 3. The information may be shued with ocher local� state or federal agencies to the eztent necessary to process ' the perm.it or license. 4. If your requested permit or license requires Council actlbn to approve, some information maq become public. S. You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself. 6. Your full name is required to process this applicatioa or permic. • !I �G/,��'� L �,�✓Z/LD�L �5.�.L, � Fust tifidNe Last ,��r�► ��-� ��- �� Addcess `l 1..��r/�V l� ��iZ� cscf:�� 7�l��lc�_— Ciry Scate ZiQ Phone I understand my ri�hts as stated above. / 'l,��L.+�� :t i�� Signature ,