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� Sea13.04 RIGFiTS OF SUBJECTS OF D:�Ta <br /> Sutsd. !. Type of data. 'Ihe righcs of individual on whom che dara is stot�:'�o b•: �red shall be as set far[h in this se tion. <br /> Subd.2. Information reqirired to be given indiridual. .+.n icc'i�idual uk��� �tppt;•: i+ate or confidenaal dara concerni ;himself shall <br /> be informed of: (a)the purpose and intended use of the requeste�dara ui�in the collec i i;3ta•e �ency,polirical subdivision,or sc ewide rystem; <br /> (b)whecher he may retuse oY is legally requited to supply the requesced dan;{c)any i�own+:nsec i� c e arising fmm his supplyiag or rc �sing co supply <br /> privaee or eonndenaal data;and(d)the idenriry of other peaoas or endaes aa�horized by s o :or I:c :�I law to receive�e dara..'iliis rc uiremenc shall <br /> not apply whtn an individual is uked to suQply invadgaRve daa,punv_.c co secdoa 1:�??.a�b .ision S,to a faw enforcemenc of. :er. <br /> 'Il�e commissioner of revenue mav olace the noace reauired cr.der this_subdw ision u l�e individual ir.come tax or Dro[.ctv tax tefund <br /> instnicaons inscezd of on chose fornu. <br /> Subd.3. Access to data by indi.idual. Upon nquesc to a reswnsibie aus:or•�,an n �idual shall be informed whether i ;is the subject <br /> of stnred dara on individuals,and whe[her it is dassified as public,privae or confidecria Upo� � funhar requ�sc,an individual wl �is the subjecc <br /> of scored private or public data oa iadividuals shall b�shown rhe dara v:i^out aay c'n3rg: i�hu i i i:if he desires,shall be infocme af rhe conten� <br /> and meaning of rhat dara. Afur an individual has been shown the priva:�2sn and i�:orn��.of i s i:aning,che dara need not be disc: �sed to him for <br /> six months eheceaiur uniess a dispute ar acrion pursuanc w ehis secaon is cending or ad��'.00al d � on the individual has been colle red or creaud. <br /> The asponsible auehoriry shatl pmvide copies of the privace or public dat�sYon reques:b� I e in�i• I ial subject of che dasa. The respc aible authoriry <br /> may rcquir che requesting person eo pay the acwal eosu of making,ce::.;•ing,ar.d coa M i.ing �h :opies. <br /> 'ihe responsibte authoricy shall eomply immediacely,if pouio!e,wich any r_q�+::ma�!e ��rsuant to rhis subdivision,or wi� in five days of <br /> the date of rhe reques[,ezctuding Samrdays,Sundays and legal holidays,ii is.mediar con;i I iu�c� i •ot possible. If he cannot comply �ith the request <br /> within[hat dme,he shali so inform[he individual,and may have an addi�c�l five days w l:in w u .to comply wi[h the request,each .ing Saturdays, <br /> Sundays and legat holidays. <br /> Subd.4. Procedure when data is not accurate or complete. an indivitual i .�coi u :ht accuracy or completeness of� iblic or prieate <br /> data conceming himseif. To exercise this right,an individua!shall no[ify i�wriung�e re: ��nsir.e .thoriry describing the nature of tk disagreement. <br /> 'Ihe responsible auehority shail within 30 days eicher: (a)correct the daa icund to�e ina a:icate c i icomplece and auempt co norify F st recipiena of <br /> inaccurace or incomplete data, including recipients named by[he indivi�:al;or(b)eodF :u in ii c ual thac he believes che daca to E correct. Data <br /> in dispuc�shali be discloud oniy if�he individual's sta�emeac of disagr_:�ent is i_ctiada� vith h i isclosed data. <br /> Th�decermination of the rtsponsibie au[horiry rtuy be appea�:�pucsuaL�to t": pro•i: ��s of rhe admiaiscraev�procedui act relating to <br /> conmsted cases. <br /> DATA PRIV..�CY AD�'IS��;2Y <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi dat� ',w: ��uld like to inform you that your reauest <br /> for a pemut or license from the City of Orono or any oi i� depaz-.mei� : m:y ��quire you to fumish cert� n private or <br /> confidential information. <br /> You are notified that: <br /> 1, The information you furnish will be used to de:ermine}•ot G �ual ii :i[ion for the permit or licer. e requested. <br /> 2. You may refuse to supply data, buc refusal may require I�at t h �iry deny the permit or li< :nse. <br /> 3, The information may be shared wi�h o�her loc�l, stace or;i�lera. !encies to the excent necess: y to process <br /> the permit or license. <br /> 4. If your requested permi[ or license requires Council ac,�m E� ��prove, some information nay become <br /> . . public. <br /> 5. You have certain rights under M.S. 13.04 (r�ailable up�t i:re�<< :t) to review private data c i yourself. <br /> fi. Your full name is req�ired to process this applica[ion o' J�emu <br /> �;•r�� �� ±S= .�„yl <br /> Firsc �1�d .asc <br /> � •-- • <br /> Addcess <br /> � `� no /11�� ��;�� �("� �'-l�-`� J- 3 /� <br /> Cicy Snu 'ip Phone <br /> I underscand my righu as stated above. <br /> f, � r <br /> / --�-��`�,r'� �G .__ . <br /> ���n <br />