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Sec.13.04 RIGHTS OF SUBJECTS OF DaTA ' <br /> Sabd. i. Type of data. The righcs of individual on whom[he dara is s�ored or ro be stared shall be as sec forch in this secaon. <br /> Subd.2. Intormation reqirircd to be givea indiridual. �n iadividual asked to supply privare ot confidendal dam concerning himself shall <br /> be infora:ed of: (a)che purpose and intended use of che rcquuud dara wichin the collecang�tace agenry,poliricai subdivision,or sat�wide rysum; <br /> (b)whect:er he tuay refuse or is_legally cequir.d to supply the rquesud data;(c)any latown coasequence arising from his supplyiag or refusing to supply <br /> privace or con.�der.dal dam;and(d)che idendry of ocher pecsoas or enddes au�horized by srace or federal law to receive t�e data. This requiremene shalI <br /> not apply when an ir:dividuai is asked to supply invesrigadve dam,pursuan�ro secaon 13.82,subdivision 5, co a law enforzement officer. <br /> The eee-�missioner of rcvenue mav place che nodc- rauird und-r this subdivision in the individual income rax or orooem taz reFund <br /> inscrucuons insuzd of on those forms. <br /> Subd.3. access to data by iadiridual. Upon rcquesc to a responsibie authority,an individual shall be informed whacher he is the subjecc <br /> of scor.d daca on individuals,and whecher it is classifi:d as pubtic,privace or conF.denaal. Upoa his further request,aa individual who is th:subjecc <br /> of scoced priva�e or public daa on individuals shall be shown che daa wichouc any charge ro him and;if ha desires, shalI be informed of[he contenc <br /> and meaning of[hat daca. After an individual ha.s been shown the privare daca and iaformed of its meaning,the dara need not be disclosed ro him for <br /> siz monchs thereafter unless a dispute or acaon pursuanc to this secdon is pending or addidonal dara on the individual has been coltecced or crear�d. <br /> The responsible au[horiry shall pcovidt copies of che privac:or public data upon request by the individual subject of che dara. 'Iht respansible authoriry <br /> may requir_ the reqcesdng penon to pay the accuai coscs oi makin¢, cerrifying,and eompiling the copies. <br /> 'Ihe responsible auchoriry shall comply immcdiacaly, if possibie,wich aay tequest made pursuanc to this subdivision,or within five days of <br /> the dace of the tequest,excluding Santcdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the requesc <br /> within that dme,he shali so infocm[he individual,and may have an addidonal Five days wichin which to comply wich the request,excluding Saturdays, <br /> Sundays and legal holidays. <br /> Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or comple[eness oF public or pri�•ate <br /> data conceming himsdf. To ezercise chis righ�,an individual shall noafy in wricing che raspoosible aurhoriry describing the nature of the disagreemeac <br /> The responsible authoriry shall wichin 30 days eict:er: (a)corrcet rha data found eo be inaccura[e or incomptece and aaemp[to nodfy past cecipienes of <br /> inaccuate or incompiete data, including recipiea�s nam:d by tbe individual; or(b)nodfy the individual that he believes the daca to be correct Dati <br /> in dispu�e shall be disclosed only if the individual's sta�emenc of disagrcement is induded with the disclosed data. <br /> The de�erminaaon of ehe responsiblz auchoriry may be appealed pursuanc to the provisions of the adminis�arive procedure act relaang to <br /> contesud cases. � <br /> DATA PRiVACY ADVISORY <br /> In accordance wich M.S. 13.04, Subd.2, "Ri�hcs of subjects of data", we would like to inform you that your request <br /> for a permit or license from the Ciry of Orono or any of its depanments may require you to fumish certain private or <br /> confidential information. <br /> You are notified that: <br /> 1. The information you furnish will be used to determine your qualification for the permit or license requested. <br /> 2. You may refuse to suppty data, but refusal may require that the Ciry deny the perm.it or license. <br /> 3. The information may be shared wich other local, state or federal a�encies to the eztent necessary to process <br /> the permit or license. <br /> 4. If your requested permit or licease requires Council action to approve, some information may become <br /> public. <br /> S. You have certain ri�hts under M.S. 13.04 (availabie upon request) to review priva[e data on yourself. <br /> 6. Your full name is required to process this applicatioa or permi�. <br /> � ��-� � �� �(�r J , <br /> First ,- �fiddlc Lasc <br /> ���� I � ��y���, � � +/P _ ��,:'�,�� �'� ���' �� <br /> Addreu <br /> �� ���� �'�� Gr,o �i � ,�i� ���/ �/ ���`� ���17D <br /> �rry Sate Zip Phoae <br /> I un erstand my rights as stated above. <br /> nscure <br />