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Sac.13.04 RIGHTS OF SLJB,fECTS OF DATl. ' <br /> Sutd. 1. Type o[data. The righcs of individual an whom rhe daa is swred or ro be smrtd shalI be as set forch in this secrion. <br /> Subd.2. Iatormation reqiascd to be given indlridual. An iadividual ask:d to supply private or coafidcadal dam caacerning himself shalI <br /> be infora:ed o,`: (a)the purpose aad incended use of che requcsted dam wichia ehe eoBecang�tare ageac.y,poliricaI subdivisioa,ar scatewide rysmm; <br /> (b)wheaLe:he;.�y r.fuse or is,legally requir_d to supply the requesud daa:(c)aay fasown eoastquence arisiag from his supplying or reCvsing to supply <br /> privace or co:i::dar.da!dam;usd(d)c�e ideadry af o�her persoas oreadries au�orized by sc�m arfc�e^1'.�:;:o r_c:ive�e dac�. This mquiremeat sha11 <br /> no�appiy w::ea an ir.dividual is asked to supply invesrigadve daca,Qursuanc to secdaa 13.82,subdivision3,w a law enfarcemeat ofncor. � <br /> Tie eenmissiancr of revenue mav ofac_ �he noace r.�uird und:r this subdivision in the individual income taz or orooem t-�z refund <br /> inscrucdans i�suxd of on chose forms. <br /> Subd. 3. ?.ccess to data by iadividuaI. Upon tequa�co a responsibte auchoriry,an individual shall be informed whecher he is che subjeu <br /> of stor:d dan on individuaIs,and whecher ic is dass�ed as pubiic,private or eonF.dend�l. Upoa his furchec r_quesc,aa individual who is the subje:� <br /> of stor.d priva;:or public daa on individuals shall be shown ehe daa wichout any charge to him and;if he desiru,shall be informed oE tte contanc <br /> and meaning of that dara. Afcer an individual has becn shown the privatz dati and informed of ics meaaing,the data nced not be disclosed Lo hitn for <br /> six mondu�hereafter unless a dispuce or acaon pucsuanc to this secdon is pending or addiaoaal daa on�he iadividuat has been eollece:d or erea�d. <br /> The respacuible auehoriry shall provide eopies of�he privac�or public daca upon request by the individual subjecc of che dara. 'Iha responsible auchoriry <br /> may requir �he requesdng peaon to pay che accual cos�s oi making,eerdfying,and eompiling the eopies. <br /> The responsible auehoriry shal!eampiy immediacely,if possible,wich aay requosc made pursuant to chis subdivision,ar wichin five days of <br /> the dare of the request,ezduding Sacurdays,Sundays and 1eg31 holidays,if immediace compliance is noc possible. If he eannot comply with tho requesc <br /> wichin chat dme,he shall so inform che individual,and may have an addidonal Five days wiehin which to comply wich�he requesc,ezcluding Sacurdays, <br /> Sundays and legal holidays. . <br /> Subd.4. Procedure when data is not accurate or complete. An individual may eont�st rhe accuracy ar eompleteness olpublic or privace <br /> dara conceming tiimself. To exercise this righ�an individuai shall noaFy in wridn3�he respoasible auchoriry describing the nature of che disagreemenc <br /> 'I�e responsible au�horiry shall wichin 30 days eicher: (a)correcc rhe da�a fonnd co be inaccurat�oc incompiece aad aa:mpc to nodfy past recipienes of <br /> inaccuate or incompte�e data, induding rccipien�s narned by che individua.l:or(b)aodfy the individual that he believes[he dara to be correct Dars <br /> in dispu�e shall be disciosed only if the individual's stacemenc of disagreem:n�is included wi�h tha d'uclosed dam. <br /> The dacermina6on of the responsibla auchoriry may be appealed pursuant to the provisions of tha admicusaarive procedure act mladng to <br /> eontesmd cases. • <br /> DATA PRIVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "R.ights 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 its deparcments may require you to furnish certain priva[e or <br /> confidential information. <br /> You aze notified that: <br /> 1. The information you furnish will be used to determine your qualification for che permit orlicense requested. <br /> 2. You may refuse to supply data, but refusal may require that the Ciry deny the permit or licease. <br /> 3. The information may be shazed wich o�her local, stace or federal a�encies to the ezcenc necessary to process <br /> the permit or license. � <br /> 4. If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> 5. You have certain ri�hts under M.S. 13.04 (available upon request) to review private data on yourself. <br /> 6. Your full name is required [o process this application or permit. <br /> L����:_ — �..�c c�,ti�"-� <br /> Firsc �fiddle I.asc <br /> ��L>U �jc�._,�; :� �; �(_1.�� <br /> Addreu <br /> l��=t-�,-z-��'�. �'��v�, .- � ���`� / ���Z� �121-S�l'l�v <br /> Ciry Stace Zip P�oae <br /> I understand my ri�hts as stated above. <br /> ��-� 1 <br /> S� NN <br /> � <br />