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�.�3.w ��c;�rrs oN s�;s.�crs�r v�T� <br /> 5utid. d. Tti�:c>�daZa. "I�c right�af individua!oa whom fhc daYa is siorzd or to t�.:stor�d chall bz az zct forth in ihi�section. <br /> Jubd.2. Infonnaiion required to be given individuaL .�1n individual asked to supply private or confidential dala wncerning himself shall be <br /> intormed ot: (a)the purpose and intended use ofthe requested data within the collectuig siate agency,political subdiv�sion,or statewide system;(b) <br /> wheUier lie may refuse or is I�gally required to supply the requested ciata;(c)any known cunszquence arising frotti his supplying or refu5ing to supply <br /> pri vxte�x ti�n�de�li�t�dutn;�d{d)t�ie idecntily of otl��tx�rsais or entili�nuth�rized by stale vr feder�l Ixw lo receive k�daia. This r�eyuirement shall <br /> noi apply when an individual is asked to suppty investigative data,pursuant to section 13.82,subdivision 5,to a law enforcemeat officer. <br /> "Ihe co_mmissiqner of revenue ma�lace the notice rec�uired under this subdivision in the individual income tax or property tax refund <br /> instructions instead of on thosc forms. <br /> Subd.3. Access to data by individual. Ilpon requ�.ct to a re.cperosible authority,an individual shall be informed whether he is the subject of <br /> stored data on individua(s.and wheth�r it is claQ4ified as�ufilic,privaYe or u�nfidential. IJpon his f�rcther reyuest,an individual who is the subject of <br /> stored private or puUlic data on individuals shall be shown flie data without any charge to him and,ifhe desires,shall be informed of the content and <br /> meaning of Ihal ciata Atier.ui indi�°idual has been shown the privatc dala and i�ilormed of its meanu�g,th�data ne�J not be disclosed to him for six <br /> cnonU�s thzraafter anless a disput.,or ar:tiun pursuant to this se�ti�ni is p��tiding ur additionai data on t1re u�dividual has bean collected ur cteaiad. "Ihe <br /> responsible authority shall provide copies of the private or public d:tCa upon request by the individual subject of the daW. The responsible authority <br /> mav require ih2 requestint,person io pay the actual costs of making,c�rtifying,and compiling the copies. <br /> 1'he responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of <br /> the datz of the requesL,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with ihe request <br /> within that time,he shaii so inform the individual,and may tu�ve an:idditionai five days within which to comply with the reyuest,exctuding Sahirdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accuratz or complete. An individual may contzst the accuracy or completeness of public or private data <br /> �onceming himselt: To exercisa this nghY,an individual sha11 notily in writing the responsible authority describing the naiure ofthe disageement. The <br /> resperosible xuthority shall within 3D days either. (a)correc[the data Yuund to be inaccurate or incomplete and atte�npt to notily past recipienLs of <br /> inaccurate or incomplzte data,including recipients named by the individual;or(b)notify the individual that hz belicves the data to be corcect. Data in <br /> dis�ute sh�ll be disclosed only if 4hn individual's statt�»��et of disa�,,n�c�tr:nt is ins:luded with die disclosed ciaka. <br /> The detetmination of the responsible authority may be appealed pursuant to the provisions of the administrxtivc procedure act relating to <br /> .:ontzsted cases. <br /> DATA PRIVACY ADVISORY <br /> In accordance with MS. 13.04.Subd.2,"Rights of subjects of data",we would like to inform you that your request <br /> for a pernut or license from the City of Orono or any of its depariments may require you to fumish certain private or <br /> confidential infonnation. <br /> You are r�tified tlut: <br /> 1. Thc uiforn�ation you funush will be used to deternuue your qualif"ication for the pemut or license <br /> requested. <br /> 2. You may refuse to supply data,but refusal may require that the Ciry deny tt�permit or license. <br /> 3. The infonnation mav be shared with ott�er local, state ar federal agencies to the extent necessary to <br /> process the pennit or license. <br /> -�. If your requested pern�it or license requires Council action to approve, some information may become <br /> public. <br /> �. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. <br /> 6. Your full name is required to process t�us application or pennit. <br /> (�/I i �kJ A--�� L t�/`A �t � �' <br /> r irst Middle I,ast <br /> Z i i l„ l�"l t-�:rC�j 1 �-`�t` �A �.1 � <br /> lddress <br /> ���z>,��►�L��;� �� ����l z� [:.��i 3�?-(�� 73 <br /> C'itv State Zip Pfione <br /> �understa d my rights as stated above. <br /> , �� � ` <br /> cia....f�trp - <br />