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<br /> 6ec.13.04 R[GFrl'S OP SYl�ECT3 OP'DATA
<br /> Subd,1. Typo of dalu, The nghU of individua]�wl�om Ilie deta is etored or to be etored ehall be ae aet forth in lhie ewtion.
<br /> 5ubd,2, Infotmation roquuod W be givmi ineli�idual.An individual auked[o aupply prive[c o�conFidcn[ial dffia concerning himaelf shall Ue
<br /> informed of: (a)the puipoee und inDendod uae of tho rtqueated deta wi[hin lhe collec�ing 3[olc agcncy,poli[ical subdivi8ion,er etetewidc yyy[cm;(b)
<br /> Whoeherha mey rat4ye oriy legally rcquired to eupply the roquea�ed date;(o)any lcnown aoneequence arieing&om hie auppiying or�fuaing to eupply
<br /> pri�nte or oonfidantial data;and(d)thc idenlity of other pe�sone or entitiee autharizedby etaoe a federel law ta�eoeive the dala.Thie isquisement ahall
<br /> not apply when an individual ia n�ked to eupply invn�tieauve dat�pu�suant to seaion 13.92,9ubdivi9ion 5,to e lew enforcament officcr.
<br /> 'Tt�e oomminaioner of ravenue m�v nlace rhe notice rcc�uircd under thv eubdivieion in thc individuel incomc tex or pronertv tax refund
<br /> inawc�ion9 ine Gead of on thoae fame.
<br /> Subd.3. Acoeae ta data by individual. Upon requeetw r rcaponeiblo autl�ority,an individunl ahnll be informod whetharhe is the eubjovt of
<br /> etorcd dnta on individuala,and whether it ia oleea�ed ss public,pnva[c 0�confidential. Upan hia tLAher rtqucAl,ar�individuel who u rha aubjec[af
<br /> etorcd pri�nte or publio data on individunla aktel I be ahoum lha data wid+ou�eny cherqe to him aad,if he desirey,xhall be i�ormed oPthe con�cn�and
<br /> meaning of that data. After nn individual hae been ahown ihe privn�o dntd und informed oF iw meaning,the delu nobd noC ba dieolwed to him fvr�ix
<br /> months thaeafter unleee a&epute or avtion pu�auunt lo lh�a aeclion ia punding or eddiLionel de�n on the individuql ha been uvlleutcd or creel�ri The
<br /> re�poa9iblc au�horiry 9hs11 provide copiea of tlie private or publie dnta upon requeat by the individu al eubjeot of the deta, 1�e reepanaible nulhority
<br /> may�oquire lho requax�ing pereott to pay tltc aetual costs of making,certifying,and compiling the copiea.
<br /> Tho reeponaibla euLhority aha11�omply immedietcly,ifposeible,with eny eequcet Mede pursuen�to thi�eubdiviwion,or within fivedaya of
<br /> the date ofche requeel,excluding Saturciays,Sundaye and legnl holidaye,if immediate eomplianae ie nolpoaeible.Ifhe oennoteomplywith the requeet
<br /> w;thin thac timc,he ehell ao inform the individual,and may have an additional five deye within whieh to aomply with the tsqueet,exoluding Seturdeys,
<br /> 5undaya ond legel holidayy.
<br /> Snbd.4, Prooedurewhendata�Anotaccurateorcoanplcu. Anindividualmaycontcetd+caccuracyacomplerane��ofpublicorprivaledete
<br /> aonoemin g himwelr'.To arerciaa thiy ngh�,en individual ahall eo[ify in writing Ihc roaponeiblc euthority deacribing thc nawce of thc dioa8rcemen�.The
<br /> rraponaiblc authoriry yhell wi�hin 30 daye eidur: (a)correct U�e da�a found to be inaocure�e or incompLer.e end e[�cmpt to notifj�peel roaipiente of
<br /> inaaouralo vt Inoor[�plaw deta,lnoluding recip��nu namcd by Uu individual;oe(b)notify tht iadividuel 01et he bel levo8 the de[d tp ba�orr'ec4 Da[91tI
<br /> diaputa ahall be dieoloaed only if thd individuel'y�tetemenl of disagrecmant iy jncluded w�Ut tho diyolo9ad deta,
<br /> The determinntion of the roaponeible au�horily maY bo appeoladpunuunt to�ho provisivne of the adminiettalive provodure eotrelating lo
<br /> oonteeted caaea,
<br /> DATA PRIVACY ADVISORY
<br /> In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inforxn you that your request
<br /> for a pemzit or]icense from tlle City of Orono or any of its departrnents may require you to funush certain private or
<br /> confidential infom�ation.
<br /> You are notified tlwt:
<br /> 1. The inforn�ation you fw-nish will bc usEd to determine your qualification for the pernut or license
<br /> cequested.
<br /> 2. Xou may refuse to supply data,but refusal may require that the City deny the pemut or license.
<br /> 3, The information may be shared with other local, state or�ederal ager►cies to the extent necessary to
<br /> process the pernvt or license.
<br /> 4, IF your requested permit or licex�se requires Council action to approve, some information may become
<br /> public.
<br /> 5, You ha�ve cercain rights under M.S, 13.04(available upon request)io review privat�data on yowself.
<br /> 6, Your full name is required to�roeess this application or perrr�it.
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