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Sec.23.04 RIGHTS OF SUBJECTS OF D:�T.� <br /> Subd. 1. Type of data. The right�of individual oa whom�e data is stor_d��co b: �ced shall be u set focth in this s< aon. <br /> Subd.2. Intormation reqirired to be gi�m fndiridual. An izdividual uk�d L� �ippl.�: i rate or confidenrial data concemi ;himself shatl <br /> be informed of: (a)the purpose and imm�ded use of ehe reques�ed dan v.:�in the collec w�;3ta�e �ency,polirical subdivision,or sc ewide system; <br /> (b)whaher he may retuse oY is tegally tequited to supply[he itquesud daa:(c)any l�owa°:QStt 1� c e arising from his supplyiag or rc �sing to suppty <br /> privace or conndendal data;and(d)[he idenrity of ocher persons or endacs xechorizcd by s' :or t:c :il law to receive the daca..This re uiremen[shall <br /> aot apply whan an indiviQual is azked to supply invesdgaave data,pursu_.t co secaoa 1:�?2,s��b �ision S,to a law enforcemenc oE �er. <br /> 'Ihe commissioner of rc�enue mav place the noace reauired er.der this subd�ision ir I�e individual ir.come tax or ococ:rtv tax refund <br /> instrucdons inscead of on those focros. <br /> Subd.3. Aecess to data by{ndi�idual. Upon requesc to a css:onsibie aushor•�,an a �idual shall be informed whether I :ic ehe subject <br /> of scored data on individuals,and whecher it is dassified as pubtic,priva¢or con6der.ria Upo i � furcher request an individual wl �ic the subjec� <br /> of swmi private or pubiic data on individuals shall 6�shown ehe dara v:iu.out any e'n3rg; i a hi�i i i;if he desires,shall be info�me of�he contenc <br /> and meaning of chac data. Afxr an irrdiridual has been shown the priva:-taca aad i�:am� �.of i s �.aning,the data need not be disc: �scd m hira for <br /> siz mondu thereaiur unless a dispuu or acdon pursuanc to chis secdon is�ending or ade�'.ooa!d � on the individual has been colte ced or creaced. <br /> The responsible auchoriry shatl provide coQies of the privaa or public dac�L;on requ:s:b� I e in�i� 1 ial subject of�he dara. The respc �sible authoriry <br /> may require die requesting person to pay the acaial eosu of making,cer;•ic►g,aad coa�i ing �h :opies. <br /> '[he responsibk suchoriq shall comply immediacely,if possio!e.wi�t►any r_qL+s:ma�le ��rsuant m rhis subdivision,or wit in five days of <br /> the da�of the request,excluding Saetrdays,Sundays and legal holidays,ii ir•.medi2te can�I ianc� i •nt possible. If he cannot comply �ith the request <br /> within r}tat titne.he shall so inform the individual,and may have an addi�er.ai five days w't:in w u .to comply wich che request,exc(t .ing Satutdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure Nhea data is not accurate or eomplete. an individual t .�co�u he accuracy or complomness of� iblic or pri�ate <br /> dan concerning himself. To exercise rhis righ�an inQiviQua!shali noufy ia wriring cc rc; �rosit.e .thoriry dascribiag che natucz of d diaagreement. <br /> 'Ihe responsible auehoriry shall within 30 days either: (a)correct the daa icund m be ina�:icate c i uomplete and aaempt to nodfy F st rccipiencs of <br /> inaccurate oc incomplete daea,including recipiencs named by ehe individ�:or(b)eotiF :ie indi e ual that he believes the daca to b eoaeet. Daci <br /> in dispu�e shall be disdoud only if the individual's stacement of disagr:�ent is i_c:ide� vith b �isctosed data. <br /> The decec[nination of the rasponsible aurhoriry may ba appta�e�pursuant to�": pro•e �u of[he admiaiscnrive procedm act relating w <br /> contes[ed cues. . <br /> DATA PRIV.�CY AD�"IS',N;2Y <br /> In accordance with M.S. 13.04,Subd.2, "Rights of subjects oi dat� ', w: ��uld like to in,form you that your renuest <br /> for a permit or license from the Ciry of Orono or any oi i�deparmez.��: m:y ��quire you to furnish cert� n private or <br /> confidencial information. <br /> You are notified that: <br /> 1. The informatioa you furnish will be used to de:ermine}�oL G �ual ii :i[ion for the permi[or Iicer. e requested. <br /> 2. You may refuse to suppty data, but refusal may require I�at t h �ity deny the permit or li� :nse. <br /> 3. The information may be shared with ocher la�I, stace or:y�lera. �encies co the�xcenc necess. y to process <br /> the permit or ticense. <br /> 4. If your requested permit or license requires Council ac���n E� ��prove, so�e information nay become <br /> . . public. <br /> 5, You have certain rights under M.S. 13.04 (a.ailable up�;i�re��t :t) to review private data c z yourself. <br /> 6. Your fu11 narne is required to pmrtss this aa�lication o` �>ernu <br /> �r/ /,,.JCs_� !S_ .J r�l <br /> Ficst M►d .ast <br /> 5� .—_ . <br /> Addteu � �Y ,/-+_. <br /> � Yc� n0 /1;1�.� `�,�� �(� C'!�'�7. !`�- <br /> C��, Snte 'ip Phone <br /> I underscand my rights as scated above. <br /> i , � <br /> �� �`����� —_ <br /> 'gnamro <br />