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1 <br /> � <br /> - 1 <br /> . , � <br /> Sec.13.04 RIGF�TS OF STJBJECTS OF DATA ' <br /> Satd. i. Type oC data, Thc righct a(individual oa whom che daca is scored or ro bc stnc:d shall be as sec forn4 in this secaoa <br /> Sutd.2. Iatormatioa required to be givea indirlduaI. ?.n individua2 uk:d w supply private or coafideaaal dam conceming h:aself shaI1 <br /> be iafora:d o,`: (a)44e purposa a:d inc�nded use of[he requesc�dan wichin the eollecoag 3a�ageary,galiacaI subdivision,or sramwide rysce�; <br /> (b)whec�e:he tray r:Fuse or is_legally requir_d to suPPlY.che r.quesud data:(ej a^.y 3mown coascqueece arisia3 froca hs n:opiy::3 or r:fusing to supply <br /> privace or coti;�cr.�al daa;ar.d(d)the idcadry of o�herpersoes oreadaes au�ocs.zed by sc�c�or fedecal law to rrceive c�e dati. This rquirtmea�sSai <br /> not appiy wten an ir.dividua! is uk:d to suppiy inves3ga3ve daa,purrsanc ro seceoa 13.83,subdivuion 5,�a law e:ifoccemeac ofncu. <br /> '[he_cer.lmissioner of rcvenue mav niace che nodce r�uir-d urd•r this sutdivision in the individual income tiz oc orooem az refurd <br /> inscrucdoru uucead of on those forms. . <br /> Subd.3. Acc�to data by iadiYidval. Upon requuc to a cespoasibie auchoriry,an individual shaIl be informed whe�her ho is che subject <br /> of stor:d dan on individuals,and whecher ic is cfassifi:d u public,privace oc conF.denaal. Upoa his furcher r_ques�aa individual who is cue subjccc <br /> o(scor.d priva:e or public daa on iadividuaIs sha11 be shown ehe daa wichout any charge to him ar.d;if he desir:s,shall be infocmed of che eonteac <br /> ar.d m:aniag of that dara. Aher an individuat his been showa the privac:dara and into�.ed of i�t meaniag,the da�uecd noc be d'uclosed oo him for <br /> siz monctu ther.afur unlas a dispuce or acaon pursuanc co this secdon is pending ac addiaoaal dact on the iadividual 6as beea eolle:c:3 or erea�d. <br /> The respacuible aud:oriry sha11 provide eopies ot che priva::o�public data upon requesc by ehe individual subjecc of�he dan. The responsib(e auchociry <br /> may requir_ the r.quesdng person ro pay the acntal eoscs of rn3kinz,eerrifying,u:d compiling the eopies. <br /> 'Ihe responsible auchoriry shall eomply irrur.:dia;ely,if possibfe, wich any r.qu:sc made pursuanc eo ehis subdivision,oc wichin five days oi <br /> the daL of che request,excluding Sacucdays,Sundays and 1e331 holidays,if immediace compliaace�s noc possible. If he eanaot compty with the requesc <br /> within e'ut ci-ne,Ae s�all so inform che individuaI,and may have an addidoaaI fiv:days wir:in which to comply wic�the requesc,ezcludiag Sanirdays, <br /> Sandays and 1e3a1 holidays. . <br /> Subd.4. Procedure when data is not accurate or eomplete. An icdividual may eonmsc�he accurncy or eompie�:ness olpublic orprivace <br /> dara conceming ti�mself. To exer•ise this right,an individual shaIl¢odfy in wridag the respaasibte auchociry descrt'bing the nawre of the d'�sagreemeac <br /> The responsible au�horiry shall wichin 30 days ei�:er: (a)correc�che da�a found�o be inaccura�or incompleco aad aaemp�to nod.�r pasc recipiencs of <br /> inaccucate or incample�e dac3, including recipi:a�s narr.:d by che individual;or(b)aoafy the individual that he believes the da�to be cocret Data <br /> in d'upute shatl be disdosed only if the individual's sa�ement of disagreemen�it included wi[h the disdosed daa. <br /> The decertninaaon of the responsibte authoriry may be appealed pursuant to the provisions of the adminisaadve procedure acc relaaag co <br /> eoncesc-d cases. <br /> DATA PRIVACY ADYISORY � <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hts of subjeccs of data", we would like to inform you that your request <br /> for a permit or license from the City of Orono or any of its departments may require you to fumish cercain private or <br /> confdential informatioa. <br /> You are notified that: <br /> 1. The informatioa you furnish wi1!be used to determine your qualification for the pecmit or license requested. <br /> 2. You may refuse to suppty data, but refusal may require that the Ciry deny the permit or license. <br /> 3. The inEormation may be shared wich other local, state or federal a;encies to the eztent necessary to process <br /> the pecmit or licease. <br /> 4. If your requested permit or license requires Council action to approve, some information may become <br /> public. � . <br /> 5. You have certain ri�hts under M.S. 13.04 (avaitable upon req¢est) to review privace data on yourself. <br /> 6. Your full na.me is required to process this applicacion or permi�. <br /> ��2� G�-� e {�( e I� ru e <br /> F'ust � � � �tiddle Last <br /> Addceu � <br /> � s �s�� y 7 a .�y� <br /> Ciry Sa�e Zip Phoae <br /> I underscand my ';h�s �s scaced abo . <br /> Si3cucure <br />