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. � <br /> . ti <br /> Sec.13.05 RIGFiTS OF SUBJECTS OF D,�TA - - - • ' <br /> Satd. i. Tppe o[data. The righu of iadividu3l cn whom the da�is scoc:l or ro be smr.d shalI be u s:t fo�m this secrian. <br /> 5utd.2. Iatormatian reqmred to be given ia3irldual, �1n'¢dividuaI uk:d W suppiy privace or eaafi�-.�al daa eancerning himseif s:ia?1 <br /> be iafoca::d o`: (a)the purpase and inLnded use oE che requ�daa vrithia the eotlecdng;a�ageaey.gvlirica:s.:tdivision,ar samvr.de ryS;:�; <br /> (b)whea`.e:h:;.3y r_I�usc oi u.legalIy r:quir_d to suPPtY.�e r_quess:d daea:(cj aay I�avra ears.qs:ecce uisia3 froc`_s supptyiag or refusiag w sugpiy <br /> privac�oreoa::der._:I daa;a:.d(�cte qCenary af ocherpersoes o�e�ddes auc`�oriz:d by sn�.arf:�c_':_:;:;r.ce:�c,�.e da�. Ths r_quiremeac s�� <br /> noc a�pty w::ea an i.dividuai is ask:d w supply invesdgadve daa,putsuanc to secdon 13.82,suMivisioa 5,oo a L�:+enfar.emeat o�cer. . . . � <br /> 'C�e ee:-�missiorter of rcver.ue mav iace che noace r_auir_d under this sutdivision in the ir:dividual i.:�ne �z or ocooem t;z refur.d <br /> inmucdoru insuzd ot on chose for,ru. <br /> Sutd.3. Aceess to data by iadiridval. Upen request w a tespoas3le auchoriry,an'mdividual shall be�'or�e3 whe�herhe is�he subjeu <br /> of stocrl daa an irsdividuaLt,aad whechec it is et�uiFed u public,privat�oc eanP.dene:�l. Upon his furcher r_qu:�aa iad'nr,dual wko u th�subje_c <br /> of sior.d priva:e or public dam on individuaIs shalI be shawn the dac�wichout any charge to hirs u:d;if he duires,s�ll he informed of�e eaaceat <br /> acd m:aning of e�at da�a. Ahec an individnal his beea shown the priva�.dati ar.d iafarmtd o[irs meaaiag,the daa�-ed noc be d'uclosed oo him for <br /> six mondu�tter_afcer unI:ss a dispute oc accon purn:ant ta this secdon is pe¢ding oc addidooal dac�an the iadivi2^:I has teea eoUecLd ar erea�d. <br /> The cespaasibie anchoriry shall'pcovidz eopies of�he privac:orpabiic data upon raquest by the iadividual subject of�daa. 'Ihe respoast'ble auchoriry <br /> may requir_ [he r_quesang person to pay che acatal cosc�oi ma.'cinz,eecrifying,aed eamp�ling the eapia. � <br /> The tesgonsihte auchoriry shaIl eorsspiy imm:diace(y,if passibie,wich aay reqecest sade pursuant ca thi.s.•_divis,oci,ar wi�hin five days oF <br /> the datr,of the teqaes�ezcluding Saturdays,Sundays and legai haiidays,if inmedi�ce compliance is nocpossibte. Ii�e e3rscot eomply with the request <br /> wiehin that drrse,he shall so inform the individuaI,ar;d cnay have an addi¢oaaI five days wichin which to compiy wic;_e ce�;ut,ezcluding Sacurdays, <br /> Sandays uid IegaI hotidays. . , . <br /> Subd.4. Procedure when d3ta is not accurate or eamplete. An icdividual may eone:st che accurary ar carspiemaeu ofp¢blic orpri��ac: <br /> data coaceming tiunsalf. To ezetcise this right,an ir:dividuaI shall nodfy iu wrida�dse r.spoas�te auchaciry desen'b:g the namre of thn disagzeemeac <br /> The res�aasibk auchoriry shall wichin 30 days eic.�cr. (a}eoa�ece�he dsca foond w be inaccura�or ir.compte�ar.d z::mpt co nodfy pasc reeipien�s of <br /> inaccurace or incampiece da�a,including recipiea�s named by che individuaI:ar(b)aoa'ry the individual that he beC�ves the dati to be correec Da� <br /> in dispace shatl be disclosed onIy if che individual's satement ot disagceemeat is inciuded wich the d'uctosed dara. <br /> The decectninaaan of the rtsponsibtz au�horiry may be appealed pursuant to the provisions of tha adau:°syadve proc:dure acc relaaag co <br /> eonmsmd cases. � . . � <br /> DATA PRTVACY ADYISORY � <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjeces of data",we wouId like to i::orm you tha[youc request <br /> for a pemzit or license from the City of Orono or any of its departmencs may require you to fumis� certain private or <br /> conf dential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to detecmine your qualifcation for the germic orlicense requested. <br /> 2. You may refuse to suppty data, but refusal may require that the Ciry deny thc permit or license. � . <br /> 3. The information may be shared wich other local,state or federal a�encies to the eztent necessary to process <br /> the permit or license. � <br /> 4. If your requested permic or licease requires Council accion to approve, some information may become <br /> . public. � � - _ . . . . ' � <br /> �5. You have certain ri�hts under M.S. 13.Q4�(availabie upon request) to review pavace data on,yourself. . . <br /> 6. Your full name is required to process this applicatio❑ or permit. <br /> - s�'tiJ7 �r��7���- � ;_'� �-�/��U�"V <br /> Fitsc • �fiddle j,�t • <br /> t.��/��S ��/S� i�� �� � <br /> . �aa� -...... - <br /> /1'J�-r'� � ��,�,/ �-r�'l� ��S-3��_�7�- CC��' � <br /> C�ry Snte Zip P�ace <br /> I understand my ri�hts as stated above. <br /> � `�/���t,� �. <br /> Signacure <br />