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. ,,,, � Sea13.0�i RIGHTS OF SUB.JECTS OF DaT� " Subd. 1. Tvpe of data. The righrs of iadividual on whom[be dara is s;orcd or co be stored shall be as sec forth ia�his section. Subd.?. Informadon reqirired to be�vea individual. ?�n individual ask:d w supply privau or confidendal dara conceraing himself shall be informed of: (a)the purpose and iattnded use of the ctquestcd daca`,vithin the couecang'sttste ageacy,polidcal subdivision,or st�tewide rysum: �b)whecher he may rfuse or is legally�equiced ro supply rhe requesud dara;(c)any�o��LNeace arising from Ius supplyi.^.g or refusing to supply priva[e or eonr.denaai dara;and(d)the idendty of ocher persoas or enades auchoriz:d by sia�.oc fed�ral law to receive[he da�a. This requiremen�shalt not appfy whzn an individual is asl:ed to supply in�•esdearive dara, pursuanc ro se:�on 13.82, subdivision 5, to a law enforceci�at officer. The commissioner of revenue mav ola:� che nodce r.auired under ehis subdivision in che individua! income ctx or orooem raz refur.d insttucdons inste�d of on chose forms. Subd.3. access to data br•individual. tipon request to a responsible auehoriry,aa individual shall be informed whecher he is che subjecc of scor_d data on individuals, and wherhe�it is el�csified as public, privace or eon:.�:adal. LFon tus further request,an individual who is the subject of stor_d private or public dat�on individuals shall be shown che daci wi�hout any caarge tD him and,-if he desires, shall be iniormed of the concenc ar.d meaning of ehat daca. After an individua!hu been shown ehe privare dan and iniormed of iu meaning,che dara need noc be disclosed co him for six monchs cheraiur unless a dispute or acrion pu;suanc eo chis secdon is pending or addidoa�!dara on che individual has been collecud or created. The responsibiz au[horiry shall providz copies of ctre privace or public data upon requesc by the individual subjeu of�he dara. T'ne responsible auchoriry may requir che requesring person to pay che acnlal coscs of makin¢.certifying,u:d compiling the copies. The responsible au[horiry shall comply ima:ediatety, if possible, wirh a^y:�Quest s3de Pursuant to this subdivision, or within five days oi the dart of[he requesc,ezcluding Sa�urdays,Sundays and legal holidays,if immedu:e compliazce is not possible. If he canaoc comply wich the reques� within rha[dme,he shail so inform[he individual,and may have an addidonal five days wirhin which to comply wi�`�[he request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An ir.divi�ual may contest the accurdcy or compleceness of public or pri�•ate - data conceming himself. To exerise chis ri¢he,an individual shall nodfy in wriar.g te resporsble auchoriry describing che nanl:e of[he disagreemeac. . The responsibiz aurhoriry shall within 30 days ei�`.er: (a)corrocc[he dara found ro te inaccLric:or incomplece and aaempt to nodfy past recipienc�of inaccurar or incomplece dan, induding recipiears named by che individual; or(b)corify [2:e individual thac he believes[he dac;to be correcc. Data in dispuce shall be disc:osed only if ehe individual's sntement of disagreemenc is ir:luded wich ehe disclosed dara. The dererminaaon of the responsibl. au�horiry may be appealed pursu�:.c co the pr�visions of tha administradve procedure act retaciag to contested cases. DAT�, PRIVACY �D`'ISORY In accordance with�1.S. 13.04, Subd.2, "RiQhts of subjecu oi data", ��e would like to inform you that your request for a permic or license from the Ciry of Orono or any of its depz�.ments may require you to fumish certain private or confiden[ial information. You are notified that: 1. The information you fi:rnish will be used to decermi:_�your qualification for the permit or license requested. ?. You may refuse to supply da[a, buc refusal may reeuire that the Ciry deny the perm.it or license. ;, The information may be shared with ocher local, s�a��or federal a�encies to the extent necessary to process the permit or license. .}, If your requested permit or license requires Council action to approve, some information may become public. �. You have certain ri�hts under �1.S. 13.04 (available upon request) to review private data on yourself. 6, Your full name is required to process [his applicac:oa or pe:mit. First �fiddlz Last ?�ddctss C`ry gn� Zip PF.one I understand my ri�hts as staced above. . Signacuro